The premise of this game is to guess what picture is over your head. The picture is visible to everyone else but you. In a way, this game reminds me of something called "Indian Poker", where everyone but you sees your card.
Anyway, the idea behind this game is good, it's like a 20 questions, where you ask questions and people can say "yes/no". The availability of the picture makes it so that a whole group can participate, versus one-on-one.
However, here's where the hangups go. The timer is for 45 seconds. Consider that the average question takes about 5-10 seconds between asking and answering, we're talking about 5-10 questions before time's up. We tried a house rule of flipping the timer an extra time (for a total of a minute and a half), but we still can't figure out the item in time! I think the issue has to do with the timer, it messes with your head, and the questions you ask become scattered. Perhaps if we had a new house rule and had a limited number of questions instead of relying on a set time, the game may work. This may be especially useful when you have a diverse number of ages (young kids versus teens and adults).
Also, there aren't that many cards. I suppose we can create our own cards, but for this size game, you would think that the manufacturer would bother to give you a few more. I'd see a cranium game, and they'd throw in about 300-500 examples. For this game? Not even 100.
Based on the number of stars for other reviewers, I'm guessing that I'm in the minority, but I just can't love this game. Again, great concept, but hard to play.
Overall, okay game. Could have easily been a 4 or 5 star game if they thought it through, gave game variations (like number of guesses), and gave more cards.
UPDATE - 06/22/11
So, it's been over half a year since we've received this item, and I must admit, the kids and wife still play it once in a while. So while I don't love this game, it's still considered a keeper!