Asylum Patient Image

You spent years locked away, dismissed as mad, delusional, or dangerous. Whether you were truly afflicted by visions, magic, or simply the truth no one else could see, you endured the sterile halls, the whispering doctors, and the ever-watching eyes. You have learned how to mask your pain—or let it shape you into something stronger. Now, the world beyond the asylum walls is yours to navigate, though the past lingers in the shadows of your mind.

 
Skill Proficiencies: Deception, Medicine
Tool Proficiencies: Disguise Kit
Languages: One of your choice
Equipment: A straitjacket, a small trinket from the outside world that kept you sane (a childhood toy, a stolen letter, a scrap of fabric), a vial of sedative (one use; functions as a weak poison or sleep aid), and 10 gp hidden in odd places.
 
Feature: Fractured Perception

You have spent so long questioning what is real that you’ve developed an unusual resistance to deception and mind-altering effects. You have advantage on saving throws against the frightened condition and against illusions that require Intelligence (Investigation) checks to discern their nature. Additionally, you are skilled at masking your true thoughts and can feign sanity or madness at will. With a successful Charisma (Deception) check, you can convince others that you are either perfectly rational or completely unhinged, depending on what benefits you more. However, those who know your past may dismiss your words, assuming you’re still not well. 

 
Suggested Characteristics

Those who have endured confinement emerge changed. Some become paranoid and distrustful, while others develop an eerie calm. Many carry lingering trauma or peculiar habits, struggling to convince others of their sanity. Whether seeking revenge, redemption, or simply a place to belong, their past is never far behind.

d8 Personality Trait
1 I speak in riddles or cryptic phrases, sometimes without realizing it.
2 I have trouble trusting others, always fearing they’ll lock me away again.
3 I find humor in dark or disturbing things that others shy away from.
4 I am deeply empathetic toward the outcasts and forgotten souls of the world.
5 I always keep an escape plan in mind, no matter where I am.
6 I struggle with personal boundaries and invade others’ space without meaning to.
7 I see signs and omens everywhere, convinced the universe is speaking to me.
8 I have an eerie calm, even in the face of chaos or horror.
d6 Ideal
1 Freedom. No one will ever cage me again. (Chaotic)
2 Justice. Those who imprison the innocent must be held accountable. (Lawful)
3 Survival. I’ve learned that the world is cruel, and I must do what it takes to endure. (Neutral)
4 Compassion. I will help others escape the suffering I endured. (Good)
5 Power. If the world thinks me mad, then let them fear what I can do. (Evil)
6 Truth. What I know is real, and I will prove it. (Any)
d6 Bond
1 A fellow patient helped me survive, and I will find them again.
2 I cling to a single memory of my past that reminds me who I am.
3 I keep a list of the people responsible for my imprisonment—I will have justice.
4 My mind is fractured, but I believe there is a truth hidden within my madness.
5 I owe my freedom to someone who believed in me, and I will never betray them.
6 My time in the asylum taught me things I can’t explain—secrets I’m only beginning to understand.
d6 Flaw
1 I don’t always know what’s real and what’s not.
2 I panic when confined, even in small rooms or crowds.
3 I distrust authority figures, no matter their intentions.
4 My coping mechanisms make me seem strange or unsettling.
5 I can be reckless, believing I have nothing left to lose.
6 I sometimes hear whispers or see visions, even when awake.
 
Asylum Patient Image

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