My 3-year old granddaughter and I were playing with the Itchy Game Cards the other day and we created a new game. We laid out about 8 or 9 card sets with the picture card on the bottom and the letter card on top. I would say, “Can you find the ‘cookie’?” and she would search for the letter that represented that picture shape. When she found the right one, we would say the sound together. She really enjoyed this game!