It’s a world where magic is real, where the Old Gods fear both irrelevance and the growing power of the New Gods, like Technology and Media.

The Old Gods are the gods of religions and cultures that were brought over to North America by human activity and survived there even after their worship stopped. The Old Gods are American incarnations or avatars of a given entity. Bound by the shores of North America, they cannot leave the continent, while their "original self" still exists and evolves in their homeland, distinct and separate from their American counterpart. Human sacrifice grants an Old God a lot of strength and vitality, more than simple prayers, faith, and offerings. In some cases like Bilquis, Old Gods even eat their worshippers alive to keep themselves alive.

Without worship or belief, the old gods fade away, a fate considered "worse than death". When a god completely stops receiving worship or belief in any form, they will eventually disappear