Though London was effectively purged of Vampires during Operation Antigen in 2012, in time vampires returned to the city and began fighting over it once more. As the remaining Second Inquisition forces began to be stretched thin as they were sent elsewhere, it became easier and easier for more Kindred to slip back in and try to fill the power vacuum. After the fall of Queen Anne, Catherine Deacons took up Praxis in the city, but she too has recently lost the throne though seeks to regain it once more as Kindred of various clans flood into the city seeking the same. Meanwhile, the mysterious "Shadow King" still appears to be pulling strings behind the scenes.

There are nearly as many stories that have begun to play out in London as there are Kindred appearing in the city. The self-proclaimed Toreador Promigen, Annabella Wright, manipulates and gathers childer to her and makes power grabs, the ancient Ventrue Sir Kingston and other Elder Kindred have begun to be forcibly awakened from torpor and various Kindred have begun to claim Praxis in areas of the city as they seek to expand their influence and claim further domain. Anarchs flood the city and begin to move against the Camarilla including the notorious Marissa the Butcher, who holds a grudge against the Ventrue who seek to take control. Independent factions also begin to appear as various branches of the Hecata seek to establish themselves within London and a group of Tremere seek to supplant power through the use of a cult that is swiftly gathering acolytes. These are only a portion of the stories beginning to unfold in the city.

Compete in thrilling 5-minute duels with endless strategic depth, driven by the innovative “King of the Hill” mechanic where power is fleeting and strategy reigns.

Gameplay consists of a 7-round match using a 15 card deck created from a variety of characters in which opponents place cards on a board themed around different locations in London in a "King of the Hill" style in which players fight over the spaces in the center of the board where primary match scoring happens. Whoever has the most points at the end of Round 7 claims victory. New cards can be gained through a variety of means, and feature characters from various clans that support different styles of play.

The game features multiple archetypes, each predominantly associated to a particular clan. Though most of a clan will fit that archetype, as is the case in the TTRPG, not all members of a clan are a monolith, and some cards will feature archetypes outside of their clan norms or work better with cards from other clans.

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