oWoD winds up being a warped form of supers or slasher flicks in most hands, because the mechanics for Rötschrek are weak and often ignored. Plus, it's always temporary; Alien & WFRP 1, the essential campaign question is "Which gets you first? Insanity or the Enemy?" In both, PCs wind up with a slowly accumulating series of disabilities... Pendragon can result in similar, albeit more player control, with passions... especially hate and fear passions (which can override the Valourous/Cowardly trait pair... and each other).