insanity is probably on super strong gear and likely be alongside gear with drawback. the only way to play insanity seems to be level 5 warding (last time i was told it only works for 60 seconds, but i beleive its permanent for the damage part and the 60 seconds are for the side effects)
You can get insanity from entering Akursius Keep, eating meels from Purple mushrooms, from certain spells (Planned lost spell - Magic limbs that boosted your magic permanently but gave you 1 lvl of isnaity). And on wiki they made a whole ass list from what insanity effects we know from QNA. (At the end selectorch consumed pie with purple mushrooms and started tripping)
I didn’t know that place had the same effects as eating too many mushrooms
insanity 4 players when they accidentally enter akursius keep
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