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FulliconStatusEffects madness

Madness is both a Game Mechanic and a Status Effect featured in Dead by DaylightIconHelp DBDlogo that is applied exclusively to Survivors.

It is used uniquely The DoctorIconHelpLoading doctor and was implemented in Patch 1.5.1.


Mechanic[]

Madness affects the sanity of the SurvivorsIconHelpLoading survivor and affects/hinders their ability of performing certain interactions.

Madness is a Game Mechanic that is unique to The Doctor, as it is directly linked to Carter's SparkIconPowers cartersSpark, his Power.

Madness Tiers[]

Madness comes in three Tiers, Madness I, II, and III.

Chevrons indicate the current Madness Tier to the affected Survivor.
The changing static noise on a Survivor's portrait in the HUD also informs other Survivors and The Doctor of their current Madness Tier.

Madness Tiers are fixed, meaning that once its tier increases, there is no way to lower it until Madness III is reached, at which point the Snap Out of It action allows Survivors to reduce it back to Madness I.
There is no possibility to completely lose Madness once it has been gained.

Madness Points[]

Madness works by applying Madness Points to the Survivors through Carter's Spark. The amount of Madness Points define the Madness Tier:

  • Shock Therapy applies 0.5 Madness Points.
  • Static Blast applies 1 Madness Point.

Tier I[]

Madness I is achieved after receiving 1 Madness Point, it affects Survivors with the following afflictions:

  • The Character icon's underlay shows a sphere with horizontal stripes.
  • Causes Survivors to scream once upon Tier-up, showing The Doctor an Aura flare-up alongside a Loud Noise notification.
  • 33 % chance to trigger Madness Skill ChecksIconHelp skillChecks.
    • Madness Skill Checks have an equal chance to be either placed off-centre, reversed (turn counter-clockwise), or both placed off-centre and reversed.

Tier II[]

IllusionaryDoctor

A Doctor Hallucination / Illusionary Doctor

Madness II is achieved after receiving 2 Madness Points, it affects Survivors with the following afflictions:

  • The Character icon's underlay shows a sphere with vertical stripes.
  • Causes Survivors to scream once upon Tier-up, showing The Doctor an Aura flare-up alongside a Loud Noise notification.
  • 66 % chance to trigger Madness Skill ChecksIconHelp skillChecks.
  • Causes Survivors to see Illusionary Doctors.
    • These Hallucinations are only shared with The Doctor if he uses any of the "Restraint" Add-onsIconHelp addons.

Tier III[]

Madness III is achieved after gaining 3 Madness Points, it affects Survivors with the following afflictions:

  • The Character icon's underlay shows a sphere with tv static.
  • Causes Survivors to scream upon Tier-up and then intermittently every few seconds, showing The Doctor an Aura flare-up alongside a Loud Noise notification.
  • 100 % chance to trigger Madness Skill ChecksIconHelp skillChecks during Snap Out of It.
  • Causes Survivors to see shared Illusionary Doctors.
    • These Hallucinations are intensified, sharing them to The Doctor and allowing him to read their AurasIconHelp auras.
  • Survivors are prevented from performing any of the following interactions:


Additional Afflictions[]

Main article: Carter's Spark Add-ons.

Depending on The Doctor's choice of Add-onIconHelp addons load-out, Survivors can have additional afflictions based on their Madness Tier.

All Madness afflictions are induced simultaneously when using the Iridescent KingIconAddon iridescentKing Add-on.

Order[]

When any of the "Order" Add-ons are equipped, Survivors with any Madness suffer from the Order affliction.

Every 20 seconds, one random broken Pallet is replaced by an Illusionary Pallet.

Illusionary Pallets will spawn either upright or dropped, and will persist until a Survivor approaches them.
When approached, the Pallet will disappear and The Doctor will laugh.

Calm[]

When any of the "Calm" Add-ons are equipped, Survivors with Madness II or III suffer from the Calm affliction.

While in Madness II, Survivors will hear a distant Illusionary Terror Radius every 30-45 seconds.
This effect will last between 10-15 seconds when it activates.

While in Madness III, Survivors will constantly hear the Illusionary Terror Radius until they Snap Out of It.

Restraint[]

When any of the "Restraint" Add-ons are equipped, Survivors with any Madness suffer from the Restraint affliction.

While afflicted, Illusionary Doctors spawn more frequently, and last for 6 additional seconds.
Additionally, The Doctor is able to see the Auras of Hallucinations at any Madness Tier instead of the default Madness III.

Discipline[]

When any of the "Discipline" Add-ons are equipped, Survivors with Madness II or III suffer from the Discipline affliction.

While in Madness II and in a chase with The Doctor, the Survivors will perceive an Illusionary Red Stain and Terror Radius as if The Doctor were directly behind them. The Red Stain is projected onto the Survivor's back and moves with their camera. The Doctor can see the Illusionary Red Stain, and can use this to aid in tracking Survivors. Discipline's effects persist for 6 seconds after a chase ends.

While in Madness III, these effects are always active until a Survivor Snaps Out of It.

Discipline closely emulates the UndetectableIconStatusEffects undetectable Status Effect, as The Doctor's real Terror Radius and Red Stain cannot be perceived by Survivors suffering from its effects.


Gaining Madness[]

Madness is applied through either the Shock Therapy or the Static Blast attacks:

Shock Therapy[]

The Shock Therapy debuff on a Survivor's HUD

The Shock Therapy attack is The Doctor's primary Power ability.

Charging Shock Therapy for 1 second will release a spark of electricity into the ground that will propagate as a cone in front of The Doctor and shock any Survivors within its range (10 metres).
The shock wave will also travel through walls and obstacles and is only blocked by LockersIconHelp lockers and increased elevation differences.

Shock Therapy has the following effects on Survivors:

  • Increases their Madness by 0.5 Madness Points
  • Suppresses all interaction prompts for 2.5 seconds, which is indicated to Survivors by a debuff icon next to their Perk icons.
    • This prevents Survivors from vaulting obstacles and dropping Pallets

The use of Shock Therapy incurs a cool-down of 1.5 seconds to attacking or using Carter's Spark for The Doctor.

Static Blast[]

The Static Blast is The Doctor's secondary Power ability that was added with Patch 3.5.0.

Charging Static Blast for 2 seconds will release a burst of electricity into the ground, propagating outwards from The Doctor all the way to the boundary of his Terror Radius, instantly shocking any Survivor within said radius not hiding inside a Locker.

Static Blast has the following effects on Survivors:

  • Increases their Madness by 1 Madness Point.
  • Causes them to scream and reveal their Location.
  • Survivors within the Terror Radius will hear a directional audio cue upon charging and firing Static Blast.
  • Survivors outside the Terror Radius will hear a non-directional audio cue upon charging and firing Static Blast.
    • It is worth noting however, that the blast's visual representation is still visible outside of the Terror radius, and can as such be used to determine the location of The Doctor.

Static Blast has a cool-down of 60 seconds.

Static Field[]

The Static Field was a passive ability of The Doctor's Power until Patch 3.5.0, bound directly to his Terror Radius. Whenever he was in Treatment Mode, Survivors within his Terror Radius would see small sparks at their feet and hear a buzzing sound. This passive exposure to the Static Field would slowly and steadily increase the Survivor's Madness. This ability was directly bound to the range of his Terror Radius, meaning that Perks affecting the range of it would also affect the range of the Static Field.

The only way to prevent the passive Madness build-up from happening was either hiding inside a Locker or leaving The Doctor's Terror Radius as quickly as possible, though there was a delay of 5 seconds before the Madness would start decaying after leaving it.


Regressing Madness[]

Madness can only be regressed through a special action called Snap Out of It.

Snap Out of It[]

This is a unique action that is only available on Madness III and will regress Madness to Madness I.

Snap Out of It is a requirement for the afflicted Survivor to regain their ability to perform interactions inhibited by Madness III. It is also advised to do due to the periodic screams and Aura-reveals, betraying their location to The Doctor.

Snap Out of It takes 12 seconds to perform.

  • It is not considered a Healing action and thus not affected by Perks such as A Nurse's CallingIconPerks aNursesCalling or Botany KnowledgeIconPerks botanyKnowledge.
  • Reaching a quadrant of the progress bar will trigger a Madness Skill Check.
    • Failing the Skill Check will apply a Regression penalty of 25 % and make the Survivor scream, revealing their Aura to The Doctor.
  • Interrupting the Snap Out of It action will save the current progress.


Change Log[]

Up to Patch 2.4.0[]

  • Snap Out of It was considered a Healing Action.
    • This made it reveal the Survivor's AuraIconHelp auras to a Doctor using A Nurse's CallingIconPerks aNursesCalling if he was in range. For Survivors, Botany KnowledgeIconPerks botanyKnowledge would speed up the process.
    • Interactions with CoulrophobiaIconPerks coulrophobia and the MangledIconStatusEffects mangled Status Effect were deemed too powerful and thus did not affect, even when it was still considered a Healing action.

Up to Patch 3.5.0[]

  • Snap Out of It only dropped a Survivor to Madness II. It was impossible to drop back to Madness I once a higher Tier was gained.
  • Failing a Madness Skill Check during Snap Out of It completely reset its progress.
  • The Madness Skill Checks had a 100 % chance to trigger, but would do so at random times during the interaction, generally allowing for 2-4 Madness Skill Checks before Snap Out of It was completed.

Patch 3.5.0[]

  • Updated Illusionary Doctors to play The Doctor's in-game idle animation, rather than the menu one, to help conceal it being an illusion.
  • Madness slowly regresses (-0.5 Madness Points per second) outside of the Terror Radius, but not inside.

Patch 3.6.0[]

  • Madness no longer passively regresses.
  • Updated and simplified all Madness Tiers:
Madness Tier Madness Points (3.6.0) Madness Points (pre-3.6.0)
I 1 5
II 2 55
III 3 105
  • Shock Therapy will apply 0.5 Madness Points (formerly 30 Madness Points).
  • Static Blast will apply 1 Madness Point (formerly 50 Madness Points).
  • Reverse Skill Checks are now part of The Doctor's base-kit.
    • 33 % chance to trigger an off-centre Madness Skill Check.
    • 33 % chance to trigger a reverse Madness Skill Check.
    • 33 % chance to trigger an off-centre reverse Madness Skill Check.

Unknown Patch[]

DoctorHUDEffect
  • Removed the visual horror effect displaying The Doctor's face on the Survivor's camera.
    • This change was likely motivated by concerns of the effect potentially inducing epilepsy in certain Players.


Trivia[]

  • Illusionary Doctors at default last for 1 second.
    • When attempting to spawn one, the Game will pick a spawn point of 6 metres in the direction the Survivor's camera is facing, then it will place an Illusionary Doctor anywhere within the 4 metres from that initial point.
    • The Game will attempt to spawn an Illusionary Doctor randomly in a given time interval.
      • Madness II: spawns at any time between 16 and 32 seconds.
      • Madness III: spawns at any time between 8 and 16 seconds.
  • Madness Tier III Aura flare-ups will happen at any time between 16 and 32 seconds.
  • Survivors suffering from the Deep WoundIconStatusEffects deepWound Status Effect cannot Mend themselves while in Madness Tier III, due to the Snapping Out of It action taking priority.
    • However, Survivors will still have time to self-mend, as the Snap Out of It action is shorter than the bleedout timer.
    • If a Survivor is placed into Madness Tier III a second time before mending, they will have to find a teammate to mend them, or they will bleed out.


Videos[]

Shock Therapy Attack Madness Tier-Up: Loud Noise notification + Aura flare-up
"Order": Illusionary Pallets "Discipline": Illusionary Red Stain
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