National Trash is all about making tabloid-style headlines. Players vie to be the first to reach the pinnacle of Media Mogul by creating the best, funniest, most sensational headlines, by combining headline-word cards, such as "UFO", "broccoli", "eats", "monkey", etc.. Along the way, players gain or lose position on the game board as other players judge their headlines. Creativity, relevance and outrageousness are rewarded, while a lack of same may cost a player. Board positions can also be gained or lost by drawing special "pits and prizes" cards.