Beschreibung
There are four stacks of cards. Act, Chance, the double-sided Sanity/Debt cards, and a smaller stack of Quarantine cards. Each player takes turns rolling the dice on their turn. Depending on the number rolled, you gain, lose or swap cards.

The game ends once someone reaches twenty Sanity cards or when the Sanity deck runs out. The player with the most Sanity then wins.