You’ve been hearing voices your whole life, seeing people that aren’t there, and having entire discussions with no one. You’ve been deemed insane and locked up at least once in your life. How or why you are free is anyone’s guess.
- Skill Proficiencies: Animal Handling, Deception, Intimidation, and Performance
- Tool Proficiencies: N/A
- Languages: N/A
- Equipment: The head of a doll, a hand-written fan fic of your favorite TV show, an inanimate object you treat like pet, a monocle, an artisan tool or musical instrument of your choice, and 20 cp.
Who says you have to be limited to one feature? As a schizophrenic, you could have lots of choices in features. But what to choose? What could you have that makes you stand out (even more than you already do)!? You are limited to one, unfortunately, unless you got yourself a super laid-back DM that you can buy lunch for a week. It’s not a bribe, the angel on my shoulder swears. Honest!
Feature: Breaking the Fourth-Wall
Hey DM, I like this feature! I can totally bug you about clichés and how I roll and stuff. I am gonna ask you all sorts of important questions, like “Is this a mimic or were you just happy to see us alive?” and “Do I ‘REALLY’ need to roll for that?” Surely, you’ll make some concessions if I do this. After all, I’m not just a PC anymore. I’ve infected the player too!!
Feature: Out-of-Context Processing
There will be times where your senses will deceive you, but there will also be times where your condition is your brain’s way of processing something. You may predict a deception or attack because a voice told you. You may sense a trap because you saw an animal get caught in it, but the animal doesn't exist. Your DM can dictate your schizophrenia’s effectiveness at his or her leisure, or roll a d20 and give you good news on any roll above 10. Your unpredictable nature may be the key to keeping your party alive.
Feature: Interview with a Dead Person
You’re an adventurer and dead bodies are part of the adventure. But you can hallucinate the dead person as alive, give them a voice, and talk to them about what happened or what to expect. You may discover something about the dungeon before a ranger or know a door is unlocked before a rogue. Or maybe it’s nothing more than a hallucination and your accuracy is simply the law of averages. Only your DM will know.
Feature: Distraction
A schizophrenic might not look it or be extremely obvious about it, depending on the stimuli present. But your allies know how to trigger you or you have enough sense to fake an episode when needed. Congratulations, everyone is looking at you: the guards, the king, the stray dog, the baby, and even the assassin. No one knew you were going to make a scene. However, this is frowned upon inside cities and around soldiers, as there’s a risk of you being locked up for acting out. To sum this feature up: effective, but risky.
Feature: Angel and Devil
You don’t have a lot of visual and auditory hallucinations: just two. You have a miniature angel and miniature devil sitting on your shoulders: giving you advice, voicing your insights, reminding you to pay attention. They might be your conscience or maybe they are real entities guiding you along. At your DM’s discretion, he may act as your angel or devil and recommend an attack or skill check you are unsure about. You are able to ignore them very well, so that your condition isn’t pronounced around strangers.
Feature: Full-Blown Fantasy
You don’t see the world the way everyone else does. You see everything set in another world entirely: modern-day America, Arthurian Britain, the Roman Empire, a Greek Epic, or something else entirely. Your brain processes the story to fit the world you see, no matter how illogical it may become. Is that a hunting rifle in your hands or is it a longbow? Or you fighting a Giant Spider or battling Arachne, the human cursed by Athena? Your interpretation of the world makes communicating with your allies difficult but may also provide unique traits, like a proficiency in a weapon because you saw it as something you were proficient in or the DM giving your Perception check more info than your allies.
Feature: Apathy
You have apathy in some way, shape or form. This could take the form of being lazy in battle, refusing to speak to someone at random, taking longer to complete a long rest, or some other form of apathetic behavior. While this can have a negative impact on your adventure, there could be benefits to your apathy, such as losing the desire to remain standing or being too lethargic to respond to questioning. Your DM may induce your apathy at any point, but consider enacting this behavior yourself so your DM won’t.
Suggested Characteristics
When you choose this background, work with your DM to understand your past. Did you escape or were you released on medication? Are your hallucinations of people in your life or strangers? Are your hallucinations of commoners or gods? Do you have something to curb the impulses of your behavior or know what exactly can set you off?
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Posted Jan 6, 2026this is so awesome