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The Antarctica Sideboard was introduced in the Mountains of Madness Expansion. It consists of 6 additional Locations, connected to the Main Board by a local path from Miskatonic Outpost to Antarctica.

The sideboard is only used whenever the "The Rise of the Elder Things" Ancient One is in play, or whenever the "Doomsayer from Antarctica" Prelude is in play.

During the set-up, set aside 1 Elder Thing Monster, 1 Giant Penguin Monster, 1 Proto-Shoggoth Monster, and 1 Shoggoth Monster. Set up the Mountain Encounter deck, the Outpost Encounter deck, and the Antarctica Research Encounter deck. Add all of the Clues and Gates that correspond to the Antarctica Sideboard to the Clue and Gate stacks.

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