From The Grimoire of Madness
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Cultists are the currency of the Elder Gods. They can be recruited, stolen, killed, and sacrificed. Cultists are key to unlocking Seals; combining four matching Cultists of your Elder God Unlocks a Seal. This is the most common way to Unlock a Seal. Cultists are played directly into your Pool, on the table in front of you. There are ten (10) of each Cultist Card in Cthulhu: Age of Madness.
Cultists are indicated by the “Cultist” label across the bottom of the Card, as well as Wax Seals and Ribbons of their Elder Gods' color; Dark Blue for Azathoth, Green for Cthulhu, Red for Nyarlathotep, and Light Blue for Yog-Sothoth.