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Worldwide - this product can be sent anywhere in the world.
Undertow of Madness Expansion Product Description
The Undertow of Madness adds 2 new Special Crew types; The Merchant and Academic, 2 new enemies in the form of the Acolyte Bloodletter and Speaker, and new Narrative cards that involve these new characters, such as trying to hunt down elusive cult gatherings! The Acolytes have not yet begun the changes to their bodies that most other worshippers have, and an still move amongst regular folk without arousing suspicion!