For something so off-kilter, this game has a suprising depth of strategy to it. The game is essentially a dice-off against your opponent(s) but their is a huge amount of unpredicibility introduced through special abilities and the effects of radiation rolls at the beginning of turns.
Don't let the bad art throw you off, this is a good game. There is even a blank card put in just in case you want to make up an underwear gnome to beat the snot out of your opponents. Good luck finding someone to play this with you but, if you can find one or more fellow twisted souls, you'll enjoy yourself.