Asilo
v5 English VersionBest For
Groups prepared to establish firm safety boundaries before a one-shot clinical-horror descent driven by character-specific stress. It suits Caretakers who want prewritten scenarios and prompts for tailoring Asilo to a table's chosen limits.
Core Mechanic
When an action warrants it, a Patient rolls a d6 and succeeds by equaling or exceeding the difficulty the Caretaker sets. Traumatic events add a d6 result to the Sanity Clock, and completed stress sectors reveal new Behaviors.
Patients learn a single d6 roll and a Sanity Clock that turns stress into new Behaviors. Caretakers add scenario pacing, safety procedures, and character-specific prompts, but these tools sit around the same compact core.
- Free to tryNothing freeNo free rules or starter
- Get it nowSold newIn print or as a legal PDF
- –IndexNo back-of-book index or page-keyed reference tables
- ✓GM guidanceA chapter on how to run the game
- ✓Examples of playRules shown in action at the table
- ✓Quick referenceCheat sheet or summary tables
- ✓Cross-referencesRules point to each other by page
4 of 5 book tools found in the core book
Highlights
Stress Rolls fill each Sanity Clock until new Behaviors alter how that Patient is played. Goals and discovered Secrets can remove or add Stress Dots, making personal history affect whether a Patient deteriorates. Destroying a signed Liability Waiver sacrifices one Patient to clear another's Behavior, turning a physical table ritual into a final rescue.
Considerations
The game centers clinical abuse, trauma, and other extreme material, requiring explicit group boundaries and active comfort tools. Each Patient's stress mitigations become Manias after three uses, making the downward pressure difficult to reverse. Asilo is designed for individual sessions, so it does not provide campaign advancement for recurring Patients.
No verified third-party publishing route found · Reviewed 2026-09-17 · Summary only, not legal advice. Check current terms before publishing. Rules license Proprietary A bounded review found no official third-party publishing program, open license, or fan-content policy for Asilo. The rulebook credits no reuse license, and the Newborn Games Terms of Use permit content use for personal non-commercial purposes only while requiring explicit approval for any reproduction, modification, or commercial use.
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