From the publisher’s rulebook

Who goes first in Cthulhu Realms?

Tasty Minstrel Games English rules, 2015

Original TMG Cthulhu Realms box with green monster over city

The player who most recently went insane is the Start Player and takes the first turn.

Rule details

Play then proceeds clockwise.

For the opening hand, the Start Player draws three cards; other players draw five.

Source & edition

Image: © Tasty Minstrel Games and credited artists · Moth Meeple 2017 unboxing of Tasty Minstrel Games 2015 edition

If your rules call for a random choice, use the player picker.

If there’s a tie

The rulebook doesn’t say. If you need a tie-break, pick a player at random.

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