The document discusses Tandem Transformational Game Design, a methodology developed at Carnegie Mellon University for iterative game design focused on achieving well-defined goals through prototyping and team alignment. It emphasizes the importance of grounding reflection in prototypes, aligning interdisciplinary teams, and utilizing a structured seven-step process to enhance game design and project outcomes. The example of a board game called Outbreak illustrates the application of this design method, highlighting key activities like goal delineation, literature review, and playtesting.