Severe trauma, failed Willpower rolls, or a low Humanity can saddle a character with a Derangement — a lasting psychological quirk or disorder that colors their behavior.

Summary

Severe trauma, failed Willpower rolls, or a low Humanity can saddle a character with a Derangement — a lasting psychological quirk or disorder that colors their behavior.

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A Derangement is a specific, roleplay-facing mental affliction — paranoia, an obsessive compulsion, a fugue state — usually acquired through severe stress, a botched roll at a critical moment, or the general strain of living outside human morality. Derangements aren't just flavor text: they're expected to actively influence how a player portrays their character until it's addressed or healed, whether through story events or downtime.