You head an industrial nation and must look after your citizens' welfare. You must develop your country as fast or faster than your competitors ---but the price to pay is pollution, which affects every one. The players must negotiate with each other through the United Nations' Council and agree on how to develop their countries.
The winner is the country with the most industrial plants at the end ---if there is a winner!
The rules are simple and there is no clear winning strategy. There is some downtime during other players' turns, but Vertigo should nevertheless be a solid addition to your game library.