From the back of the box: Can you tell me 'Sure Signs of Middle Age?'First, roll the letter cubes, then come up with a word or key word in a phrase that begins with one of those letters and describes the category on the card you've drawn. To keep everyone in line, one player acts as the judge and listens to each and every answer.Includes box of 200 cards, 20 letter cubes, felt pad, gavel, gavel board, and score pad. - BoardGameGeek