From the back of the box: Detailing the effects of phobias, manias, or episode [sic] of madness, each card describes and advises on the consequences of investigator insanity (48 cards). Call of Cthulhu Keeper Decks are designed to provide in game [sic] resources, handy references, and information. Use these decks to supplement scenarios, for inspiration when designing new encounters, to pass secret and important notes to players, and as a handy way to impart information. These decks can add new layers to plots, enhance the story, as well as [sic] introduce friendly or villainous non-player characters. Other decks in the series include: The Curious Characters Deck, The Unfortunate Events Deck, and The Weapons And Artifacts Deck.