You fool, opened the cursed book! Young magicians, you must cooperate to repeal the terrible creatures that invade our world. Deploy your spells and cobine the magic of the four elements to defeat the monsters! Will you close the book before madness seizes you? The exansion the Vth element introduces a new Book of Madness, more challenging than ever. Face new terrifying monsters and discover new mechanics. Will you be able to overcome your Phobias and master the Dark Matter? Fortunately, new Magicians join the team!

The Big Book of Madness: the Vth Element is an expansion for The Big Book of Madness base game. Your goal remains the same: you must close the book before succumbing to madness. But will you be able to handle the new Dark Matter and Phobias?