To the north of both continents lies the Frozen Sea. This is boarded by the Sea of Light, while the western landmass is bordered by the Great Sea. The eastern landmass is called Estuar, otherwise known as the Eastern Continent. Maps of Sanctuary depict two major landmasses, separated by the Twin Seas. Winter can be harsh, but those who survive the winter fever retain the strength of the madness it brings. On the last day of harvest season, the wisest folk lock their doors, hang their wards, hide under their beds, and wait for dawn. Harvest is carried out in the former, in order to survive the rigors of the latter. Sanctuary has seasons such as autumn and winter, both of which occur late in Sanctuary's calendar year. The world possesses a single moon that has lunar phases. This is due to the nature of its creation by both angels and demons, who combined their powers into these focal points. A number of focal points exist within Sanctuary places that have been 'hammered down,' that hold Sanctuary's reality together. Some of Hell's most dangerous creatures have made their way into this world. At times, over the centuries, Sanctuary and Hell touch in a manner that allows the summoning of demons into the mortal realm to be easier than it might otherwise be. The Priests of Rathma believe that Sanctuary lies upon the back of Trag'Oul. It resides in a pocket dimension, separate from both Heaven and Hell. The forces that shape Sanctuary are unknown to most of its denizens.

As a land plagued by darkness, upholding a semblance of justice in Sanctuary is seemingly an impossible task. Even the wealthiest areas in Sanctuary are challenging to exist in. Filled with horrific monsters, one must be merciless towards their enemies if they are to survive in this world. Its biomes range from frigid mountains to sand-swept canyons. Sanctuary is a large world, and a harsh, dark, and unforgiving one.

Map of Sanctuary before the destruction of the Worldstone

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