50 Desperate Desire is basically a table of possible goals that a vampire can work for during heir waking hours. The ideas on the table can really spark some creativity, and give a player or storyteller some concepts to run with. That being said, rolling dice to chose a result from this table doesn't feel all that useful, as most players i don't think would want to randomly determine what their character would do, and as a storyteller randomly chosing one of these goals would be difficult as some of them are ideas that entire story arc can be set around, while others are pretty much can be accomplished in 5 mins of game play.

The tabletop gaming club found this product useful as inspiration, and some of the stuff on the table would make great campaigns. We recommend checking it.