This review of She Bleeds by Elizabeth Chaipradikul definitely makes it out to be something new. Each stage of the ritual that a Blooded character must go through imparts different powers to them based on choices they make. Sometimes there is only one choice to take during a specific phase, sometimes two or more. These powers are interesting as well. Some last for the full cycle of the ritual, while others only for a specific phase of the moon. Some are powerful but must be earnt at cost. Others have potential downsides as well. For example, during one phase of the ritual, the character must cut themselves and drink their own blood, allowing them the power to unleash the damage they inflict on themselves upon an opponent at a later date on a like for like basis. However, this effect has the result of reopening the inflicted wounds to do so as the character’s blood gushes out to asphyxiate their enemy. The result is that the player is presented with meaningful choices over how they wish to undertake the ritual each month.