I wasn't sure what I would think when I picked it up. I was just hoping for a slight twist on the standard Pandemic formula. This game gives that and more.
It still has the feel of controlled chaos and managing a node-based board of increasing tension. But this time it's all Cthulhu themed. Outbreaks are replaced with summoning rituals that bring forth Old Ones to change up board conditions. Finding cures for diseases is replaced with shutting gates to another dimension. And disease cubes are replaced by adorable little cultist figures.
I like that this game gives the same feel as Pandemic while really being it's own game. This doesn't feel like a reskinning of the base game as much as a unique twist on it, which is fantastic.
While Cthulhu Pandemic won't be replacing Pandemic on my shelf but it also won't be shoved in a corner as a second-class citizen of a game. It will sit right next to Pandemic and I anticipate it will be played just as often.