To The Sky challenges players to build the tallest towers in medieval Italy as rival aristocratic families compete for dominance. Players strategically use Building cards to stack wooden tower pieces and gain control over key cities. Points are earned by constructing the highest towers and collecting sets of Patrician portraits, but opponents can disrupt progress through strategic sabotage. The game includes optional Trade Routes and Delegates modules, adding deeper strategic layers for advanced play. Designed for 2 to 5 players, sessions last 20 to 50 minutes, and the game is suitable for ages 8 and up.