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This is a pretty simple two player card drafting game. I never played Tides of Time (the game it was based on), but the madness doesn't really factor to much into my decisions so I can't really recommend this as an upgrade unless someone really likes Lovecraft.
Light weight Cthulhu game. If I could find it again for about six dollars I would pick it up to have around. Otherwise it was some fun, but not great. There are better Cthulhu games to be had.