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Received these in trade for a promo for which I didn't have the base game. They are slightly misaligned but I don't really care about that much. When a player defeats a monster during the explore action, they can draw a monster token that typically award a certain number of points. These key monster tokens count as a key towards unlocking a location tile. Great way to encourage more people to draw monster tokens (something I tend to avoid in favor of pearls).