I know there is at least one other drinking game for "Northern Exposure" out there, but this was one I wrote several years ago, while still in college, so I thought I'd contribute it...
The premise here is simple: use your own discretion to choose a drink, then switch on those A&E re-runs and take a swig whenever any of the following happen:
*Fleischman yells, "O'Connell!"
*Shelly calls Holling "Big H"
*Maurice makes a derogatory remark about the Japanese
*Someone appears who only Ed can see
*Adam threatens to kill someone
*Ruth-Anne wears her "Born to Bingo" sweatshirt
*Fleischman looks down over his glasses at someone
*Walt comes in and says, "Good evening, Ruth-Anne" (or "Good morning")
*Fleischman ridicules an old Indian medicine practice, only to find it works
*The show goes surreal and suddenly everyone is in New York
*The show goes surreal and suddenly everyone is in a famous movie scene
*The show goes surreal and suddenly everyone is someone else in the distant past
*O'Connell starts worrying that maybe it's her fault that five boyfriends have died on her
*Chris answers a question with all possible philosophical angles before (if ever) giving his own opinion
*Marilyn does something that Fleischman says is strictly against procedure
*Mike comes out of his bubble-house
*Chris wears one of his sexy sleeveless flannel shirts
*Anyone's family members show up
*They fake the Northern Lights with special effects
*Some stunning woman you've never seen before comes out of Chris' trailer
*Ed wears his earmuffs
*O'Connell calls Fleischman a chauvinist pig
*Marilyn says more than six words in a row
*Chris reads poetry over the air
*Someone loses their memory
*Shelly and Holling start making out in the Brick
*Shelly wears a halter top while waiting tables
*Maurice listens to or mentions show tunes
*Someone encounters a bear
*Chris wears a tie
*A circus comes to town
*O'Connell and Fleischman kiss (finish the glass or bottle if they have sex)
*Someone has a dream which stars everyone else in the show
*Someone besides Ed starts hallucinating
*Ed understands something once it's put in terms of an old movie
*Maurice commands the airwaves to make a dire, serious announcement no one cares about
*Maurice calls everyone's attention in the Brick to make a dire, serious announcement no one cares about
*Maurice wears his NASA hat
*Anyone leaves Cicely (even temporarily)
*Finish the glass or bottle if Ed kisses anyone
*Marilyn's mute lover appears
*Maurice flirts with Shelly or reminisces about the day he brought her to Cicely
*Anyone's ex-girlfriend or -boyfriend shows up
*Someone from a foreign country comes through town
*A dog runs across the street
*Someone goes outside in the snow wearing nowhere near enough clothing
*A motorcycle figures prominently in the conversation or episode
*Anyone gets completely drunk (besides you)
Copyright Molly Ringle, 1998