I used it as a self-imposed game mechanic on a LARP once. Had a tarot deck to draw from before some important decisions. This directly lead to my character's suicide near the end.

Yeah actually I've only started to learn what tarot cards are because of Balatro, which, for the most part, manages to match up their symbolic meaning with their function.

The Fool for instance lets you re-generate the last power card you played - new beginnings, innocence.

The High Priestess summons astrology cards - fortune telling, hidden knowledge, foresight.

The Tower turns cards into 'stone cards' which makes more sense once you have the context of the gameplay. It's a fall from grace, basically, and loss of potential.