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Message: <blockquote data-quote="Sebastian Ashputtle" data-source="post: 1701484" data-attributes="member: 22019">I don't use sanity in D20 Modern, unless I'm playing Call of Cthulhu or Silent Hill (I have a campaign setting based on the video game  <img src="https://cdn.jsdelivr.net/joypixels/assets/8.0/png/unicode/64/1f609.png" class="smilie smilie--emoji" loading="lazy" width="64" height="64" alt=";)" title="Wink    ;)"  data-smilie="2"data-shortname=";)" /> ).  But I employ the other costs, be it ability or hit point damage, definitely.  Add in juicy flavor text, such as: "You use your mind blast and your head begins to pound with agony as blood pours from your nose.  You lose 4 hit points."I'll often add my own penalties for psychic feats, but warn the players of this in advance.  BTW, in a more cinematic, heroic, pulp-adventure campaign, I won't use Cthulhu's psychic feats at all, and I instead default to the D20 Modern psionic system.</blockquote>