Permanent Insanity

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When Sanity points are reduced to zero the investigator is permanently and incurably insane and ceases to be a player character. In the real world, all insanity is defined as indefinite insanity, since no one in real life can hope to predict the future as accurately as a Call of Cthulhu Keeper can.

Many disorders, especially congenital conditions, offer little hope of recovery. Lovecraftconcludes more than one story with the intimation that a lifetime of madness for the narrator will follow.

Every Keeper must work out what the end-point of madness is in the game. Now and then a quiet release might be made from a local asylum. Some thin, unnaturally pallid person, almost unrecognizable after soul-wracking terrors, can walk shyly into downtown Arkham or elsewhere, cast keen eyes about, and attempt to regain some semblance of their normal life - however, no player should count on such privilege as a right.