From publisher blurb:
The Mother of Monsters stops and clutches at her distended belly. She screams as something wet falls out from her, a slithering mass of tissue and eyes, sopping with gore, a faint mewling cry escaping through its thin lips. Elsewhere, the catastrophist cackles with glee as the building housing the cultists collapses on their heads, killing everyone inside and causing no little mayhem in the surrounding community. And then there’s the verminist, who coos as she follows with her finger the bulges moving under her skin, each a knot of writhing maggots that flow through her veins. Surely, these people and others like them would never be considered heroes, but yet they fight the same fight as you. They use their peculiar talents in the ongoing effort to save Urth from annihilation.
To what lengths will you go to defeat the demonic incursion? What are you willing to sacrifice? Your body? Your mind? Your immortal soul? Paths of Horror continues to explore vile and unsettling master paths to offer characters with little regard for themselves or others opportunities to attain might, fortune, and glory in the world darkened by the Shadow of the Demon Lord. The contents of this supplement may not be suitable for all groups, so before you set your heart on one of the options contained herein, be sure to explain your intentions to and get approval from your fellow players and Game Master to ensure everyone has fun.