I understand I need to pick up a Mythos card during the Keeper's turn, but when do I pick up and use Trauma cards?
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The rules on Trauma cards are on pg25 of the Rules of Play book.
The main way to get Trauma cards is to use Keeper actions, particularly the Evil Presence and Dark Ritual actions. (All 5 stories in the base game have one or the other available to the Keeper)