Madness Debuff Overview for Horrific Visions
While inside Horrific Visions, players will experience Madness effects which change depending on the current weekly rotation, as well as the zone tier they are fighting in.
What are Madness Debuffs?
While inside Horrific Visions, you will be affected by Madness debuffs that chance how your character plays. Each zone in a Vision has one active defuff, and they rotate weekly.
How It Works
Each week has a fixed set of Madness debuffs. Debuffs are grouped by zone difficulty:
- Tainted (Tier 1);
- Corrupted (Tier 2);
- Lost (Tier 3).
The currently active Madness is displayed at the top-center of your screen. It will change depending on the area you are currently in!
Madness Debuff List
The following section covers all Madness debuffs, what they do, and how to effectively counter them.
Tier 1 Areas (Tainted Zones)
The following debuffs are only found in "Tainted" areas, also known as Tier 1 areas.
| Madness Debuff | Effect | Tips |
|---|---|---|
 Madness: Bloodthirsty |
Deal damage to nearby targets and heal yourself for damage dealt. | Try to stack enemies if this is about to go off. |
 Madness: Desynchronized |
Time moves either 30% faster or slower. | N/A |
 Madness: Promised Power |
Summons zones that grant 15% damage, lose 10% damage if not in them. | Damage increase is not worth soaking Sanity-draining abilities. |
Tier 2 Areas (Corrupted Zones)
The following debuffs are only found in "Corrupted" areas, also known as Tier 2 areas.
| Madness Debuff | Effect | Tips |
|---|---|---|
 Madness: Dark Delusions |
Summons a shadow copy that stuns you if you touch it. | Speed stays same, so outrange this quickly to ignore it. |
 Madness: Entomophobia |
Bugs crawl on your character, will cause loss of control if it reaches 5 stacks. | Casters should jump at 3-4 stacks to prevent DPS loss. |
 Madness: Scorched Feet |
Causes you to leap forward over fire zones. | Control where you jump by facing that direction when feet are on fire. |
 Madness: Shortsighted |
Combat and vision radius are reduced to 20 yards. | N/A |
Tier 3 Areas (Lost Zones)
The following debuffs are only found in "Lost" areas, also known as Tier 3 areas.
| Madness Debuff | Effect | Tips |
|---|---|---|
 Madness: Haunting Shadows |
Copy of you spawns randomly and explodes, fearing players hit. | Move away as soon as it spawns. |
 Madness: Leaden Foot |
Moving slows your movement speed until you are immobile. | Try to stutterstep to prevent overtiring yourself. |
 Madness: Split Personality |
Ring of copies surrounds you, with a hole to run through. | If you have an ability that can teleport, use it to escape quickly. |
 Madness: Volatile Intent |
Dealing damage can deal a percentage to yourself. | N/A |
More About Horrific Visions
Find out more about Horrific Visions in our general guide!
Changelog
- 18 May 2025: Overhauled for Patch 11.1.5.
- 26 Feb. 2020: Guide added.
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