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Afflicted by Xera's curse over the Twisted Castle.

— In-game description

The visual effect when Madness is applied.

Madness is an effect applied during the Traverse the Twisted Castle encounter, inside the Stronghold of the Faithful.

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.png Crippled (5 seconds)
20 Crippled.png Crippled (10 seconds)
30 Damage.png Damage: 5000 (Only if facing the rotating spire.) Silver Madness (overhead icon silver).png
40 Torment.png Torment (5 stacks for 10 seconds)
50 Torment.png Torment (10 stacks for 20 seconds)
60 Damage.png Damage: 10000 (Only if facing the rotating spire.) Gold Madness (overhead icon gold).png
70 Torment.png Torment (20 stacks for 20 seconds)
80 Fear.png Fear (3 seconds)
90 Fear.png Fear (5 seconds) Red Madness (overhead icon red).png
99 Instant defeat

See also[edit]