In the 2011 card game, Rise or Fall: The Battle of the Cliques, players choose which clique to represent in the game. Then, during play, they either lose popularity points by incorrectly defending their "reputations," or gain points by attacking another player's clique successfully. The game play is described as "rock, paper, scissors" in that each player is either defending or attacking successfully. Players choose to join either the cheerleaders, the jocks, the geeks, the punks, the skaters, the artists, or the cool teachers. In the end, the player with the most popularity points wins the round. Designed and originally published in Holland, Rise or Fall demonstrates the pervasiveness of American culture, especially teen culture. The designer Martin Nedertgaard Andersen has successfully designed many different games.