Madness

Madness Rules

Short term madness

Lasts for 1d10 minutes.

Long term madness

Lasts for 1d10 * 10 hours.

Permanent Madness

Usually results in the addition of a new character flaw.

Hallucinations

The duration depends on what caused the hallucination and generally up to the DM and what fits with the situation. In most situations, these shouldn't last more than an hour unless otherwise stated.

Curing Madness

A Calm Emotions spell can suppress the effects of madness, while a Lesser Restoration spell can rid a character of a short-term or long-term madness. Depending on the source, a Remove Curse or Dispel Evil and Good might also prove effective.
A Greater Restoration spell or more powerful magic is required to rid a willing character of indefinite madness. If a character or creature is unwilling, they must make a Wisdom save vs. the caster's spell DC. On a success the spell fails, on a failure the madness is dispelled. The spell automatically succeeds on a willing creature.
An unwilling creature will be vulnerable to further madness if cured through Greater Restoration, for 1d4 days. For willing creatures cured in this manner, the vulnerability only lasts 1d4 hours. During this time all checks or saves to avoid madness are made at disadvantage.
Note: This applies to permanent madness only and not to those cured of short or long term madness.

Short and Long Term Madness

d20	Effect
1	The afflicted has memory issues. Whenever they try to remember something, roll a 1d4. On a 1, the person forgets everything about it.
2	The afflicted thinks its power became overwhelming and hardly ever attacks out of fear of breaking the world.
3	The person suffers from extreme paranoia and treats ALL creatures as hostile.
4	Afflicted is bipolar. Every 1d20 hours, roll 1d10. If the result is even, the person acts overly friendly. If it’s odd, the person tends to be aggressive.
5	Effected believes everything to be a conspiracy - this town is run by doppelgangers, the king is a dragon in disguise, the Gods aren’t real, etc.
6	Effected develops a pathological hate of a random animal or the first animal they see.
7	Effected develops triskaidekaphobia, an irrational fear of the number 13.
8	The affected person seems to think they have switched bodies with the first person they see.
9	The affected has an unnatural obsession with black hair.
10	The affected person sincerely believes they can cast the Wish spell at will, and tries to cast it frequently.
11	PC can see and hear other NPC(s) interacting with them sometimes, only they are actually hallucinations. The PC is unaware that they are hallucinations to start out, but may learn that later.
12	Your character develops the paranoid delusion that a random party member is always watching them.
13	Afflicted knows, without a doubt, that they are the real, biological parent of someone else (ideally, a PC and they want to make it up to their child for never having realized this before.
14	Afflicted has seen the errors of popular belief and have decided to be as counter to the norm as possible. They might refer to everything in opposite terms (like saying “down” for “up”), wear clothes backwards or upside-down, or in extreme cases, even do the exact opposite of what they think others desire of them.
15	Afflicted person believes he suffers from spontaneous combustion and if they move too fast, they will catch on fire. (Wis save to use full movement, disadvantage for dash)
16	Person feels like someone is watching them constantly and cause him/her to shout out random things in any random direction.
17	Fear of growing older is instilled in them—and a desperation to never grow feeble. Impatience is formed as a result of the knowledge that with every passing second they are slowly dying, and as such they have a short fuse.
18	Afflicted character verbalizes all of their internal thought processes unless they put a concerted effort into not doing so. While suppressing the verbalization of their thoughts, they have disadvantage on skill checks and saves, cannot cast Concentration spells, and speak in strained and broken sentences.
19	Afflicted finds the most inconvenient things to be absolutely hilarious, bursting into cacophonic laughter at the worst times.
20	Afflicted becomes a mild pyromaniac. They have to make Wis save every time they see a fire. On a failure, they try to spread that fire once they are safe to do so.

DM Note: If a player rolls the same number more than once on this table, the severity or duration can be increased for that effect.

Permanent Madness Table

d12	Effect
1	Affected PC adopts the personality of another character, and fully believes that they are that character. Lasts until cured, or the effect wears off.
2	Affected believes that they can talk to their weapon. If the affected does not have a weapon, then they believe themselves to be able to communicate with another party member's weapon.
3	Affected believes that somewhere out there, there is an unstoppable turtle that is hunting them down and will kill them if they touch it.
4	Afflicted's sense of time is confused. They speak of the past as if it's in the future and has yet to happen. They speak of the future in past tense. And they have very little grasp of the present moment.
5	Afflicted is convinced they know a lot about subjects they only know a little of, and makes a lot of assumptions to fill their knowledge's holes.
6	Affected doesn’t feel safe alone, and will panic unless accompanied by another character.
7	Afflicted is incredibly terrified of the dark because of the unspeakable creatures and horrific sounds that exist there, so they always carry some form of light and are likely to freak if it ever goes out.
8	"I am the smartest, wisest, strongest, fastest, and most beautiful person I know.”
9	“I am convinced that powerful enemies are hunting me, and their agents are everywhere I go. I am sure they’re watching me all the time.”
10	“There’s only one person I can trust. And only I can see this Special friend.”
11	“I must bend the truth, exaggerate, or outright lie to be interesting to other people.”
12	Character develops an attachment to a “lucky charm” (embraces object, type of object, or person as a safety blanket) and cannot function without it.

Hallucination Table