When Star-Spawned maladies invade your realities, you'll need nary a nudge to find yourself knee-deep in Shoggoth sludge.
Oh yes, what an unpleasant romp you'll have through the festering flesh-swamp of Rr'lavinav. And when you begin to see the fog thin, a monstrous worm of pus, topped with a fin, will rot you skull from deep within.
That is why we play these horrible games, not for honor or glory, but to see whose named can be attached to the death most gory.
((In other words: I agree with Drackler.))