The First Book of Things is a monster product for Call of Cthulhu. Given the system that it is for, it is light on rules and full instead of vivid descriptions of the alien monstrosities within and their connection to the rest of the Call of Cthulhu mythology. I've never purchased a Miskatonic University Library Association Monograph, sticking to the "main" books instead. The book, while full of information, but the art is less than stellar. I would honestly rather not have any artwork. Many of the pieces that might have been decent lose their value by being so minuscule they can fit between regular columns of text without having it wrap around. Many of others amount to bland 3D objects on black backgrounds or scratchy drawings with a lot of blur and dither (the spoooooky filters). I was actually very drawn by the strange cover image, but pretty much no pieces of art within the book are that quality, and none have any kind of background like the one shown on the cover.
The book contains 60+ pages of lovecraftian monstrosities, some of which are very inspired like the Oblos, the gross floating bag of air seen in the cover, a servitor that might even have shared slavery with the infamous Shoggoths. Many monsters in the book have origins which I feel do enrich the mythos.
However, a startling amount of the monsters in the book amount to a spin on skeletons, zombies and vampires, even a mummy, and other such undead. If you want a lovecraftian spin on undead, there's more than five different ways for you to end up with a walking skeleton, including things as simple as a slime that animates a skeleton, to more complicated things like a slime which seeps into a swamp atop a skeleton and other muck and slowly develops into an animated skeleton. It's a real skeleton-fest in this book. You'll be throwing your bones down a lot with this. Ultimately it wasn't really what I was looking for at all, but many of the monsters do exhibit a lot of creativity even if they end up being just one more way to get a skeleton to move around.
The technology section is very limited but interesting, while the spells are, as you might have guessed, fairly heavily focused on all the sundry rituals by which to summon or bind all those new skeletons and zombies and vampires (as well as the other creatures in the book of course).
If you don't really care about the art, and you're interested in more creatures, particularly more lovecraftian variations on undead, the book will probably be worth your while. It would be worth your while even more with small price tag, however. Myself, I didn't find what I was looking for, and will likely keep to the big Chaosium books from now on.
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