Sanity Overview for Horrific Visions

Sanity is your main resource during a Horrific Vision. It it reaches 0, the run ends. Here is how it works and how to manage it effectively.

You begin each run with 1,000 Sanity, which can be increased via talents. Sanity drains over time based on the zone you are in:

• Tier 1 (Tainted): 6 Sanity per second.
• Tier 2 (Corrupted): 8 Sanity per second.
• Tier 3 (Lost): 10 Sanity per second.

Some enemy abilities further reduce your Sanity. Interrupting Sanity-draining abilities is critical for survival.

Hourglass of Horrific Visions provides powerful talents to help you survive longer. Key talents reduce Sanity drain, increase maximum Sanity, and even allow resurrection through Emergency Cranial Defibrillation).

Orb Operation Manual, the first trait in the Hourglass of Horrific Visions, is your basic recovery tool. It restores 10% Sanity and health per second for 10 seconds. You get 3 chargers per run, shared across your group.

The Tribute of Elite Extermination restores Sanity when killing an Elite opponent.

Each Vision contains color-coded potions. Some restore Sanity, others reduce it. The colors are randomized each run, so it is important to identify the bad potion early. See our dedicated guide for more information.

The Expansive Mind increases your Sanity cap by 50 per rank, up to 1,150 total Sanity at max rank.

Gift of the Titans, the final talent in the Hourglass of Horrific Visions, has a chance to reduce Sanity loss from all sources by 100% for 20 seconds.

For more details on the talent tree:

Find out more about Horrific Visions in our general guide!