Tabletop RPG Consent Checklist How to Use This Form

This checklist uses a “red/yellow/green” system to illustrate your

The game you are about to participate in may include sensitive themes, comfort level with the related themes and plot elements in the game. Keep
including violence, romance, and socio-political strife. It is important that in mind not all themes will be used, but this provides the Gamemaster
everyone enters the game with the same expectations. Everyone's comfort with a baseline to stop the scene or fade to black should those topics be
levels are different, and this form provides a baseline of the players' broached by another player, not just from their story.
collective comfort level, so we can maximize the fun. What is totally fine green: Full consent;no further discussion needed.
for the GM may be totally off-limits for you, even in a game that explores yellow: Partial consent; please confirm level of comfort/details before
terror and fear. This is exactly why it is so important to have an agreement play begins.
with the GM and the group what is and what is not okay to include in- red: No Consent; Do not include in the story/Pause game if introduced
game. by another PC.
Please be honest with your answers, and feel free to reach out to let the
GM know if this may not be the game for you. if this game were a movie, what rating would you want it to
his consent form was created by Gehenna Gaming and inspired by the have?
“Consent in Gaming” checklist by Monte Cook Games.
☐ G ☐ PG ☐ PG-13 ☐ R ☐ NC-17
If you have any questions or feedback please feel free to reach out to
Gehenna Gaming here: ( highcouncil@gehennagaming.com ).
Mental and Physical Conditions
directed at players in game in general
his first section is intended to be filled out by the Gamemaster prior to G/Y/R G/Y/R
handing out to the players. Death/Loss of Loved Ones ☐ ☐ ☐ ☐ ☐ ☐
Mental Illness (Portrayal ☐ ☐ ☐ ☐ ☐ ☐
name of the scenario: of)
Natural Disasters ☐ ☐ ☐ ☐ ☐ ☐
game system: Paralysis ☐ ☐ ☐ ☐ ☐ ☐
Police Aggression ☐ ☐ ☐ ☐ ☐ ☐
tone of the scenario: Pregnancy/Miscarriage/
☐ ☐ ☐ ☐ ☐ ☐
Termination
Self-Harm ☐ ☐ ☐ ☐ ☐ ☐
game description:
Severe Illness ☐ ☐ ☐ ☐ ☐ ☐
Starvation ☐ ☐ ☐ ☐ ☐ ☐
Torture ☐ ☐ ☐ ☐ ☐ ☐

notes:

name of the gamemaster:

gamemaster contact info:

player, are you on-board with this premise and theme(s)?

☐ Yes ☐ No
Socio-Political Issues Interpersonal Relationships
directed at players in game in general directed at players in game in general
G/Y/R G/Y/R G/Y/R G/Y/R
Ableism ☐ ☐ ☐ ☐ ☐ ☐ Romance between PCs ☐ ☐ ☐ ☐ ☐ ☐
Human Trafficking ☐ ☐ ☐ ☐ ☐ ☐ Romance between PCs and ☐ ☐ ☐ ☐ ☐ ☐
LGBTQIA+ bigotry ☐ ☐ ☐ ☐ ☐ ☐ NPCs
Sex between PCs (w/ Fade ☐ ☐ ☐ ☐ ☐ ☐
Political bigotry ☐ ☐ ☐ ☐ ☐ ☐ to Black)
Racism ☐ ☐ ☐ ☐ ☐ ☐ Sex between PCs and NPCs ☐ ☐ ☐ ☐ ☐ ☐
(w/ Fade to Black)
Religious bigotry ☐ ☐ ☐ ☐ ☐ ☐
Violence between PCs ☐ ☐ ☐ ☐ ☐ ☐
Sexism ☐ ☐ ☐ ☐ ☐ ☐
Betrayal between PCs ☐ ☐ ☐ ☐ ☐ ☐
notes:
Betrayal between PCs & ☐ ☐ ☐ ☐ ☐ ☐
NPCs
Emotional Abuse ☐ ☐ ☐ ☐ ☐ ☐
Horror (Gaslighting)
Physical abuse ☐ ☐ ☐ ☐ ☐ ☐
directed at players in game in general Sexual abuse ☐ ☐ ☐ ☐ ☐ ☐
G/Y/R G/Y/R
Body Horror (Blood, Gore, notes:
☐ ☐ ☐ ☐ ☐ ☐
Mutation, etc.)
Creepy Crawlies (Bugs,
☐ ☐ ☐ ☐ ☐ ☐
Worms, Etc.)
Graphic scenes of death ☐ ☐ ☐ ☐ ☐ ☐ additional topics not covered:
Harm to animals ☐ ☐ ☐ ☐ ☐ ☐
do you want the gamemaster to follow up privately to clarify
Harm to children ☐ ☐ ☐ ☐ ☐ ☐
Illusions (Altering of any of your responses?
☐ ☐ ☐ ☐ ☐ ☐
“Reality”) ☐ Yes ☐ No
Mind Control (loss of
☐ ☐ ☐ ☐ ☐ ☐
player agency)
Monsters (Demons, contact info:
Zombies, Eldritch Horrors, ☐ ☐ ☐ ☐ ☐ ☐
Etc.)
Occult (Spiritual /
☐ ☐ ☐ ☐ ☐ ☐
Streaming Consent
Religious / cult themes) (Disregard for private games)
Paranoia ☐ ☐ ☐ ☐ ☐ ☐ do you consent to your likeness being recorded and used for
Scary/terrifying/spooky
☐ ☐ ☐ ☐ ☐ ☐ marketing/promotional activities for this game session?
atmosphere
Spiders ☐ ☐ ☐ ☐ ☐ ☐ ☐ Yes ☐ No
Stalking / kidnapping ☐ ☐ ☐ ☐ ☐ ☐ name:
phobias:
signature:

notes: