Lovecraft first used a New England setting in his 1920 short story ' The Terrible Old Man', set in Kingsport. Lovecraft's stories use their connections with New England to imbue themselves with the ability to instil fear. The names of the locations in the region were directly influenced by the names of real locations in the region, which was done to increase their realism. These attributes are exaggerated and altered to provide a base upon which his stories could be constructed. It represents the history, culture, and folklore of the region, as interpreted by Lovecraft, who associated himself with the region. Lovecraft Country, a fictionalized version of New England, serves as a central hub for his mythos. Setting plays a major role in Lovecraft's fiction. Just as Arkham County is fictitious, Matt Ruff places some of the events of his book in the equally fictitious Devon County of Massachusetts.

Lovecraft biographer Lin Carter calls it Miskatonic County, and the film Color Out of Space refers to it as Arkham County, although Lovecraft indicates that at least some of his fictional towns were located in the real-life Essex County of Massachusetts. Joshi refers to the area as the Miskatonic region, after its fictional river and university. The term was coined by Keith Herber and then popularized by Chaosium, the producers of the Lovecraftian role-playing game Call of Cthulhu. Alternative phrases include Arkham County, Miskatonic County, and the Miskatonic region. The phrase is one of several attempts to label the setting of Lovecraft's works. The phrase was not in use during Lovecraft's own lifetime it was coined by Keith Herber for the Lovecraftian role-playing game Call of Cthulhu. This setting has been elaborated on by other writers working in the Cthulhu Mythos. Lovecraft in many of his weird fiction stories, which combines real and fictitious locations.

Lovecraft Country is a term coined for the New England setting used by H.

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