This is a card game that simulates being an Octogenarian in 1880 and moving forward trying to keep your pearls of wisdom as your mind slowly deteriorates. You play different moves from your hand to attempt to solve the yearly event, and to keep from losing your pearls, but your family curse is dementia, and as you get worse, your ability to comprehend the cards gets worse. (game mechanics enforce the slow loss of your marbles by changing the verbiage of cards as you play)

You play four cards from your hand each round. The numbers on the cards and icons show which types of influence you are getting with the different areas. The Yearly event is for extra points, if the score in the area for the Goal (such as Pearls +10 would mean, you need to be over 10 in pearls to achieve your goal) the moment you achieve your goal, you get the goal award. If after 4 cards, you can't you get the failure point adjustment (sometimes that is better for you than success. ;))

Your score is based on the totals for the four areas (Child, Spouse, Staff, House). If any would go below -10, you take the extra from your Pearls of Wisdom/Marbles. If they would go above 10 you will get pearls, which is your power. You are trying to last as long as possible and keep the highest score possible.