The initial setup is designed for a challenge approachable for most gamers. For additional levels of difficulty, add additional Eldritch Tentacles to the Tentacle Draw Bag during Setup:

• Hard Mode: 1 additional Eldritch Tentacle.

• Madness Mode: 2 additional Eldritch Tentacles.

For additional difficulty, the Great Old Ones scale in difficulty as well.

Difficulty order of Great Old Ones: – Nyarlathotep, Yog-Sothoth, Yig, then Cthulhu.