Depends on your group
- Our take
- Recommended as a small box if you skipped Under the Pyramids; BGG players warn its Impairment effects pile up unpleasantly when combined with that box.
- What you need first
- Just the base game
Eldritch Horror · Expansion
Signs of Carcosa
- What it adds
- Hastur as a new Ancient One, four investigators, new encounters for every continent, plus new Conditions, Spells, Assets, Artifacts and Mythos cards built around madness.
- What it fixes
- Freshens up every encounter deck with a madness theme without adding a side board.
Sources
- boardgamegeek.com (opens in a new tab)
- store.asmodee.com (opens in a new tab)
- en.wikipedia.org (opens in a new tab)
- boardgamegeek.com (opens in a new tab)
- store.asmodee.com (opens in a new tab)
Last checked 2026-10-08. Spot a mistake? Tell us.