Sanity Damage If you wish to use these rules for enemies and effects designed for sanity point rules, such as those described in Pathfinder RPG Horror Adventures, make the following adjustments Any effect that would deal sanity damage instead inflicts dread for a number of rounds equal to the number of points of sanity damage The character’s dread increases by stage + additional stage per points of sanity damage Any effect that would remove sanity damage instead lowers the character’s dread by stage + additional stage per points of sanity damage removed Types of Insanity The following table summarizes the most common forms of insanity that plague adventurers who face the horrors of the Mythos When a character gains an insanity, roll on the table to determine the nature of the affliction or choose one appropriate to your character Alternatively, the GM can assign an insanity to match the cause or craft a new one altogether Phobia: A phobia is an irrational fear of some (usually commonplace) object or situation A character suffering from a phobia takes a –2 morale penalty on attack rolls, skill checks, and Will saving throws when the source of his phobia is present Additionally, if a phobic character is directly confronted by his fear, the character fails this save As long as the insanity has he must succeed at a Will save against the DC of his a DC of at least 1, the character continues to suffer the phobia or suffer dread full effects of the insanity, although it becomes easier to Obsession: Sometimes referred to as a fixation resist its effects and recover as the DC goes down Once or (archaically) as a mania, the character develops the insanity reaches a DC of 0, the character is cured an irrational obsession with a (usually inappropriate) and that particular insanity no longer affects him particular object or situation A character suffering Insanity can be treated with the Heal skill First, the from obsession takes a –2 morale penalty on attack insanity must be identified A character can identify rolls, skill checks, and Will saving throws when an insanity with a successful Heal check against + the source of his obsession is present but not in his the insanity's DC Then, with hour of effort per day immediate possession Additionally, if a character is in a week, the healer can treat it with a Heal check directly confronted by his obsession or possesses it in against the same DC at the end of the week If the some way, he must succeed at a Will save against the check succeeds, the patient receives a +2 bonus on the DC of his obsession or become completely enthralled saving throw to reduce the sanity's DC for that week by the object (For instance, a bibliomaniacal character Greater restoration cures one insanity suffered by might suffer the noted penalty while in a library a creature (caster’s choice) and reduces the DC of all but only become enthralled when actually reading a other insanities suffered by that creature by 2d6 book, whereas an egomaniacal character might suffer Restoration reduces the DC of one insanity suffered the penalty in a room full of mirrors but become by a creature by 2d6 If a target creature suffers from enthralled when actually holding a mirror or grappling multiple insanities, the spell only affects the insanity with a doppelganger.) While enthralled, the character with the lowest DC (chosen randomly in the event of can nothing but attempt to interact with this object a tie) in a manner appropriate to his insanity He still tries Lesser restoration has no effect on insanity 94 to avoid danger and protects himself from harm, but