The Valley of Frozen Tears is a region designed to be easily dropped into fantasy campaign worlds where humans are the dominant race. The setting is a subarctic valley surrounded by impassable mountains, featuring a central slightly salty lake (hence "Lake of Tears") and a network of rivers. The population is spread among a number of smaller villages, but the center of civilization in the valley is the town of Icewall, with 5,000 inhabitants. Unfriendly orc tribes also roam the valley, with equally unhospitable goblins haunting the central woods, and ice elves to the south. Starts with a history of the valley; then moves on to a list of places (mostly centers of population); equipment lists; a secret compact involving the ice elves, druids, and rangers; 9 new creatures (many fey); encounter charts (with monster stat blocks); an NPC index of generic valley residents; and pages of maps with room for notes.