In Cultists & Cthulhu, you lead a Cthulhu cult bent on completing nefarious rites while beset by incompetent underlings, meddling kids, and imminent madness.

Cultist cards are the cornerstones of your plans, who must roll custom dice turn by turn to progressively complete Rituals. Madness, of course, is never far away. Each Ritual completed contributes points toward the 21 total needed to win.

Although each cult is primarily trying to complete its own rituals, gameplay is decidedly of a "take-that" nature, with many player activities devoted to harming the other players' attempts to carry out their objectives.