The Deck of Many Things

My version of the deck of many things, fitted for a Major Arcana deck of 22 cards. Each card has its upright and reversed meaning listed--the orientation of the card influences its effects.

If you don't have a tarot deck, you can try the Golden Thread Tarot app and simply pull until you get a Major Arcana card.

The Fool
Innocence, New Beginnings, Free Spirit
Recklessness, Inconsideration
Upright: The drawer levels up and may draw up to two more cards.
Reversed: The drawer loses one level and must draw again.

The Magician
Willpower, Desire, Creation
Trickery, Illusions
Upright: You can make anything through your mind alone. Can undo an event that just happened.
Reversed: The madness of the world takes its toll on you. You’re not sure of anything. Mental stats decrease by 2.

The High Priestess/The Medusa
Intuition, Unconscious, Inner Voice
Lack of Center, Repressed Feelings
Upright: Medusa’s gaze can freeze the undesirable in place. Can undo an event that just happened.
Reversed: Medusa sees you. -2 to all saves.

The Empress
Motherhood, Fertility, Nature
Dependence, Emptiness
Upright: It’s time to finally reap what you sowed. Gain a powerful magic item or exalt a mundane possession.
Reversed: You’re full of options and short on energy. All magic items lose their magic and replacements appear.

The Emperor
Authority, Control, Structure
Tyranny, Madness
Upright: Fate has bent to make you a leader of men. You gain a keep that must be won.
Reversed: You gain a permanent madness while gaining proficiency in a random skill.

The Hierophant
Tradition, Morality, Ethics
Rebellion, Subversiveness
Upright: The favor of a widely-accepted god and a clerical ally of level 4.
Reversed: The favor of a Weird god and a monstrous ally with 4 HD.

The Lovers
Partnerships, Union, Duality
Loss of Balance, Discord
Upright: Your soul is bonded with another. Advantages of ceremony when around them, and can Scry on them at will.
Reversed: You are certain of nothing, but know that your skills will defend you from a world you perceive to be uniformly violent. Acquire an artifact weapon.

The Chariot
Direction, Control, Willpower
Aggression, Lack of Control
Upright: With control, willpower, and restraint, you could be great. If you defeat your next opponent in single combat or negotiate a peace from violence, you gain a level.
Reversed: You’ve lost control of yourself through all the violence. You must defeat your next opponent in single combat or negotiate peace from violence or lose a level.

Strength
Bravery, Compassion, Focus
Insecurity, Weakness
Upright: The results of hard work and dedication always look like luck. +4 on your best and worst saving throw.
Reversed: You know what your weaknesses are, and you can’t shake the feeling that they rule you. -4 on your worst saving throw.

The Hermit
Contemplation, Search for Truth, Inner Guidance
Loneliness, Isolation
Upright: You feel an inner pull toward the truth. You learn a new language. Casters learn a random spell of 3rd level. Non-casters learn a tool proficiency.
Reversed: In your search for mastery, you’ve become isolated from the world. Casters learn a random spell at the cost of -2 to a physical stat. Non-casters learn a tool proficiency at the cost of -2 to a mental stat.

The Wheel
Change, Cycles, Fate
No Control, Bad Luck
Upright: What goes down must come up. Next time you are reduced to 0 HP or crit, get a second wind and regain half your HP. Gain a small magic item.
Reversed: What goes up must come down. Next time you fall to Death's Door or are critically hit, you die or are disfigured, respectively.

Justice
Clarity, Truth, Cause and Effect
Dishonesty, Unaccountability, Unfairness
Upright: You know who you are, and it’s coming around to reward you. Gain a level.
Reversed: Your success is being held back by a lie, and the unfairness is coming around. A past sin comes to haunt you until you atone, whereupon you level up. This can manifest as a resurrected enemy, a backstory element, or a past action with an unexpected impact.

The Hanged Man
Sacrifice, Martyrdom, Release
Needless Sacrifice, Fear
Upright: You’ve lost plenty, and you’ll lose more. But it’s nothing compared to what you’ll gain. You lose all material wealth but gain a level.
Reversed: So much has been lost on your journeys. Even more will come. It must be worth it, right? You lose a level but gain 50,000 gold pieces.

Death
Endings, Change, Transformation
Clinging, Stagnation
Upright: Let the past die. Kill it if you have to. Immediately level up in a new class, cannot gain more levels of your previous class.
Reversed: You’re holding on to the past. Who knows if you’ll ever let go? Can never level up again, cursed to undeath.

Temperance
Patience, Meaning, Compromise
Extremes, Lack of Balance
Upright: A balance has been struck. A powerful enemy seeks to aid you.
Reversed: Balance has been lost. You lose all your material wealth.

The Devil
Excess, Materialism, Playfulness
Freedom, Release, Restoring Control
Upright: Your desire for more has been rewarded, but everything has a cost. You gain the treasure of a powerful devil, who wants it back.
Reversed: A rogue devil seeks to damn you.

The Tower
Sudden Upheaval, Pride, Disaster
Disaster Avoided, Fear of Suffering
Upright: Disaster has struck. This is your last year alive. During it, you will lose everything.
Reversed: Thunder echoes ominously in the distance. You act as a lightning rod for all lightning and cold damage, which you have resistance for. If lightning is within 100’, it will always either strike you instead or additionally strike you.

The Star
Hope, Faith, Rejuvenation
Insecurity, Faithlessness
Upright: You woke today rejuvenated, with a new sense of purpose. +2 to 1 ability score (max 20).
Reversed: You feel drained of hope, like you’re bound to make one mistake, and then you’ll be gone forever. -2 to a random ability score.

The Moon
Unconscious, Illusions, Intuition
Confusion, Fear, Misunderstanding
Upright: In this moment, your unconscious desires could be made manifest. 1 wish.
Reversed: The confused, hidden, and misunderstood attributes of the moon are manifest within you. Lycanthropy.

The Sun
Joy, Success, Celebration
Negativity, Sadness
Upright: 1 Ability Score goes up by 2.
Reversed: 1 Ability Score (randomly determined) goes down by 2.

Judgement
Reflection, Reckoning, Inner Voice
Doubt, Self-Hatred
Upright: Draw two cards. An ally picks which one applies to you.
Reversed: An NPC becomes hostile, convinced of your danger.

The World
Fulfillment, Harmony, Completion
Incompletion, No Closure
Upright: A destiny will be fulfilled. A lost friend returns to aid you in your current quest.
Reversed: Something in another’s life is incomplete, unresolved, thanks to you. A felled enemy returns for revenge.