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The veil between this world, and the past is opening. The Ancient Ones are slowly waking. Their power touches our world, sending dreams and nightmares to tempt humanity into casting long-forgotten rituals. Old books have been rediscovered. Temples, and palaces found. It is the dawn of their awakening, and soon the stars will align. Tides of Madness is the sequel to the award winning Tides of Time. With familiar game-play, and similar rules, Tides of Madness offers a new twist : Madness. Some cards, while powerful, will harm your psyche. You must keep an eye on your Madness or risk losing the game early as your mind is lost to the power of the ancients.