+1 to needing expanions. Elder Signs gets more play with my gaming group by orders of magnitude more than any other game. I'd just be happy with some new locations and other worlds, maybe some more variation to the items, perhaps a new game mechanic or die type added into the mix. For me at least, it's mostly just a need for a little new content. I don't expect a whole lot more in terms of mechanics, since at it's core it's mainly just a themed dice game.
Thanks to those who mentioned the house rules. One thing I find is that we have a habit of saving up trophies to try and buy out elder signs. The result is no one ever buys companions or anything (I can think of only one time someone bought a companion outside of starting with Duke - that'd be a good location reward addition).
I'd never heard of this variant before, I may have to try it.
…That said, what I really want is an expansion.
Ich bin ein NERD!
Yes the expansions for the digital version are nice, but I would much rather have them focus on the table top game and maybe make it a little more challenging with an upcoming expansion.
@Joseph: These house rules take care of the difficulty level.
Shub-Niggurath is actually the hardest IMO, but you should play with the variants most players agree upon:
1. No buying of Elder Signs at the entrance.
2. The clock moves 5 hours every turn instead of 3.
3. If something else moves the clock, again it's 5.