{
  "children": [],
  "desc": "Various magical effects can inflict madness on an otherwise stable mind. Certain spells, such as *contact other plane* and *symbol*, can cause insanity, and you can use the madness rules here instead of the spell effects of those spells*.* Diseases, poisons, and planar effects such as psychic wind or the howling winds of Pandemonium can all inflict madness. Some artifacts can also break the psyche of a character who uses or becomes attuned to them.\n\nResisting a madness-inducing effect usually requires a Wisdom or Charisma saving throw.",
  "index": "going-mad",
  "name": "Going Mad",
  "parent": {
    "index": "madness",
    "name": "Madness",
    "url": "/api/2014/rules/madness"
  },
  "updated_at": "2026-09-24T21:12:35.682Z",
  "url": "/api/2014/rules/going-mad"
}