The game is set in a nightmarish Earth, approximately 5000 years in the future. In which the awakening of Cthulhu led to a world gone mad. Throughout the world, most of mankind has gone insane and worship the Great Old Ones. They fight for them and die for them, pray to them and are sacrificed to them. Ruling over them are the Great Old Ones and their servitor races. In what used to the Far East, is a human empire of sorts, ruling over what used to be the Middle Kingdom which is under siege by the forces of the Mythos.