Absolutely fantastic and quite useful.

If you want to torture and torment your players into trying to avoid combat or undue violence this is your best bet. In my campaign I have personally used it with some fiat on my part for whenever players roll a major wound. What this supplement is good at is creating longer-term consequences or penalties for fighting and getting hurt in combat, as well as emotional damage for undue acts of violence, letting you mechanically punish players who decide they want to kill the kind old man just because it would be funny.

If you want players in your group to be able to lose hands, limbs, break bones, ribs, lose eyes, get scars, this is the supplement for you and your keeper.

The only small niggle I have with it is that the locational damage chart/die roll in the game book doesn't correspond to the one in current 7e which seems like a wasted opportunity to make things easier on Keepers. You can easily just use the tables for each respective body part however and ignore that entirely.

Turn you games from Scooby Doo or My Little Pony into a Cannibal Corpse Album cover. I always prefer to maim or injure an investigator in lieu of outright killing them if it doesn't fit the narrative. Now I have a simple chart to pull out of my Keeper's Bag O'Tricks. Wother 2 bucks fer sure.

Short and to the point, Visceral & Emotional Damage lets a Keeper easily add in more flavor for when combat happens (be it adjectives for the injury, random hit lcoation, or more long-term consequences based on where the wound was received and how much damage was done). There's even a "Guilty Conscience" table for use when people are doing bad things (combat-oriented) to other people, which is possibly my favorite part of Jon Hook's book.

I'd have given it 5-stars, if not for my personal opinion on the "Hit 'Em Where It Hurts!" section, in that it may be too easy to make a called shot at times (says a reader who has not yet used these rules in actual play yet). Even with "my" issue on this, it's still a great little supplement for those looking for more out of combat.

These are great! This book is a must have if you want to turn up the horror in your Call of Cthulhu up to 11.

I love these tables -- they are quick and easy to use in-game, and they add a rich dimension to the damage dealt and received in combat! When combat does erupt in the style of CoC that my friends and I play, we put a lot of emphasis on the longer term effects of damage and injury - so that makes this PDF perfect for our game. I recommend this for keepers that are wanting to add hit location damage and make the violent effects of combat feel costly to players. (Incidently, this works very well with the Q Workshop hit location die that we've already been using).

Grant D.