The city is under attack by giant lizard-like monsters controlled by the players, whose goal is to demolish the buildings and eat the meeples which are knocked free by doing so.
[1] The monsters themselves, as well as the meeples and tokens representing vehicles, are constructed from wood and are heavier than typical game pieces.
These include dropping the wooden pieces onto the buildings or other players' figures, as well as launching a "breath attack" by physically blowing on the game board from the location of the monster.
[2] In April 2014, the game, played under its original name of Rampage, was featured on a live stream hosted by Wil Wheaton as part of an International TableTop Day event.
In June 2014, Repos officially changed the name of the game to Terror in Meeple City.