Published in Periodical
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The Great Instrument was written by Liam Ginty and is published in San Jenaro Quarterly Game Digest (Volume 1 - Summer 2019) - The Short Games Digest (and republished in San Jenaro Quarterly Game Digest (Free RPG Day Preview) - The Short Games Digest).
From the introduction:
In the Halls of Lomaar, you play a group of hearttouched from a variety of realms, who feel the pull of the heart and return it to the garnet spire at the center of the city of scars and fears. To play, you’ll need some writing implements, at least 1 friend and some dice, specifically 2 six sided dice. You’ll also need a few tokens of some description - pennies, small stones, beads.