Stylized moon-faced characters created from manipulated photographs of 18th century tombstones are set against evocative backgrounds. Incorporated into the artwork are surreal scenes of distant smoke stacks, insane asylums and abandoned buildings. Valenza's booklet gives interesting card descriptions and interpretations, both upright and reversed. The symmetric card backs, showing different phases of the moon, allow for reversed readings. Also included in the booklet is a unique ten-card spread called the Lunatic Spread, which mimics the shape of the full moon, and derives energy from its circular pattern.

Deviant Moon Tarot has drawn something of a cult following and was voted as the Top Tarot Deck of All Time by Aeclectic Tarot readers.