Players gather in teams of two: noe is the cultist and the other a Great Old One. The cultist is assisting the Great Old One and attempting to summon them to our plane. To do this, the cultist instructs their deity, with great veneration, to place an appendage on top of an Arkham landmark to complete a specific pattern. The problem is that if it nigh impossible to have one Great Old One form this pattern by itself - that is why if another deity is touching any parts of your pattern you can use that appendage to complete your own pattern! Up to three teams of two can play in theis contortionist battle of positioning.