Acutomancy is a form of divination by means of sharp or pointed objects, such as needles. The diviner allows a number of these sharp or pointed objects (usually seven) to fall onto a table or any other appropriate flat surface. He then reads from the patterns they make.

Another method, also known as Acutomanzia, uses thirteen pins, ten straight and three bent. They are shaken in the hand and dropped on a surface sprinkled with powder. The patterns in the powder as well as the positioning of the pins are then read.