Bought this expressions game for a senior with dementia. We do not play the game, per say. Rather, we read the expressions from the cards and our senior finishes the idioms. It's been a great tool for helping us evaluate how clear or focused our loved one is, and a great activity while sitting at the park or in a medical office when a distraction is needed. Mind you, there are a few idioms in the game/package that they do not know and some we have not heard either (two, I think). However, there are 48 cards and lots of expressions we have all heard. E.g. "that's water under the _ _ _ _ _ _ , a roof over our _ _ _ _ _ , etc." Great find!