Each round in Get the Ick the active player is presented with three distasteful situations that other people might do, such as:
- Seeing them write "hehe" in a text.
- Holding their nose while jumping into a swimming pool.
- Walking really slowly.
The active player secretly chooses one of these situations as the thing that most icks them out, then everyone else tries to guess which situation this is. While guessing, however, the other players can secretly mark a situation as something they actually enjoy, scoring bonus points if others don't guess their "secret attraction" ahead of the tiles being revealed.