- Effect type
- Game link
— In-game description
Each player's stacks of madness will increase throughout the encounter at a rate of 1 stack every 5 seconds, and will increase at a rate of 1 stack every second if the character (not the player's camera) is facing the central rotating spire.
Stacks can be removed through the use of fountains within the Twisted Castle if players have the Forsaken Thicket Waters mastery. Two options are present when interacting with a fountain, one granting madness immunity for a short time, and the other removing 10 stacks of madness.
A visual effect appears when madness is applied. Icons also permanently appear above the player's head at certain stacks, as noted in the table below. Additionally, at 95 stacks the player emits a sizable light-purple effect when each stack is applied.
- Depending on the stack number, different effects will be applied:
|Number of stacks||Effect||Visual Icon|
|10||Crippled (5 seconds)|
|20||Crippled (10 seconds)|
|30||Damage: 5000 (Only if facing the rotating spire.)||Silver|
|40||Torment (5 stacks for 10 seconds)|
|50||Torment (10 stacks for 20 seconds)|
|60||Damage: 10000 (Only if facing the rotating spire.)||Gold|
|70||Torment (20 stacks for 20 seconds)|
|80||Fear (3 seconds)|
|90||Fear (5 seconds)||Red|