Paper-rock-scissors-carrot-spoon-tissue-elbow is similar to Rock paper scissors (also known as ro-sham-bo).
This is a hand game played between two people, in which each player simultaneously forms one of seven shapes with an outstretched hand. It is a simultaneous, zero-sum game insofar as it has only two possible outcomes: a draw, or a win for one player and a loss for the other.
Paper beats rock beats scissor beats carrot beats spoon beats tissue (obviously) beats elbow.
The world Paper-rock-scissors-carrot-spoon-tissue-elbow champioships is one of the largest televised events on the planet, and is held annually in Wombley Staduim (the same venue in which Mr. Proudfoot won the World Rain-dancing Champion in 2018), which has a capacity of 84,000.
The event is sponsored by the following:
Paper: The Braamfontein Paper Factory
Rock: The Rondebosch Geological Society
Scissors: Rui Zhang Scissors Industries
Carrot: Mrs. Hogmanny-Hogg-Mahomm
Spoon: The International Spoon Polishing Association
Tissue: Humdinger Tissues
Elbow: The Global Elbow Appreciation Society.