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Message: <blockquote data-quote="CapnZapp" data-source="post: 6891227" data-attributes="member: 12731">No, they are very crude and very in-your-face. I see them as the very first stab at a solution a newbie designer would take, before really thinking about it.And they are also not working. Like, at all.First thing: their effects are way WAY to powerful, compared even to high-level spells. This needs at least the immediate fix is to allow a save each round, like for most spells. Second thing: the DMG doesn't define exactly what gets rid of Madness, but it suggests Lesser Restoration (among other spells) does away with all effects and all madness points. But why go to the trouble with all those mechanics if a simple level two spell can make all of it completely toothless...?Third thing: some "earlier" (supposedly lighter) effects are in practice much more damning than "later" (more severe) effects. Being afflicted with the shivers for 50 hours(!) is extremely crippling. Being afflicted with a new character flaw you don't have to roleplay is nothing in comparison.Verdict: those rules are practically useless as written.I recommend you listen to the other posters in this thread for much more useful advice.</blockquote>