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Current Tome: Tome IX - Crescendo

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Current Event: The Midnight Grove Halloween Event


Dead by Daylight Wiki
IconStatusEffects madness.png

Madness is both a Game Mechanic and a Status Effect IconHelp statusEffects.png in Dead by Daylight IconHelp DBDlogo.png that was introduced with Patch 1.5.1 alongside The Doctor IconHelpLoading doctor.png.


Madness affects the sanity of the Survivors IconHelpLoading survivor.png 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 Spark IconPowers cartersSpark.png, his Power.

Madness Tiers[]

Madness comes in three Tiers, Madness I, II & III. Chevrons indicate the current Madness-tier to the affected Survivor. Madness Tiers are fixed, meaning that once it tiers-up, there is no way to bring it back down, with the exception of Madness III, which can be lowered back to Madness I by performing the Snap Out of It action.

Madness Points[]

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

The Shock Therapy Attack applies 0.5 Madness Points.

The Static Blast applies 1 Madness Point.

Tier I[]

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

  • 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 Checks IconHelp skillChecks.png.
    • 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[]

A Doctor Hallucination / Illusionary Doctor

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

  • 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 Checks IconHelp skillChecks.png.
  • Causes Survivors to see Illusionary Doctors.
    • These Hallucinations are only shared with The Doctor if he uses any of the "Restraint" IconAddon restraintCartersNotes.png Add-ons IconHelp addons.png.

Tier III[]

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

  • Causes Survivors to scream once upon Tier-up, showing The Doctor an Aura flare-up alongside a Loud Noise notification.
  • 100 % chance to trigger Madness Skill Checks IconHelp skillChecks.png 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 Auras IconHelp auras.png.
  • 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-on IconHelp addons.png load-out, Survivors can have additional afflictions based on their Madness Tier.

The possible types of additional Afflictions are:

  • Illusionary Pallets: induced by the "Order" IconAddon orderCartersNotes.png Add-on Series.
  • Illusionary Terror Radius: induced by the "Calm" IconAddon calmCartersNotes.png Add-on Series.
  • Illusionary Doctors: longer-lasting and more frequently spawned, induced by the "Restraint" IconAddon restraintCartersNotes.png Add-on Series.
  • Illusionary Red Stain: induced by the "Discipline" IconAddon disciplineCartersNotes.png Add-on Series.

All of the above are induced simultaneously when using the Iridescent King FulliconAddon iridescentKing.png Add-on.

Gaining Madness[]

Madness is applied through either a Shock Therapy Attack or a Static Blast:

Shock Therapy[]

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 Lockers IconHelp lockers.png and increased elevation differences.

A successful Shock Therapy attack will increase a Survivor's Madness by 0.5 Madness Points. A shocked Survivor will have a cool-down of 2.5 seconds applied to performing any interactions, such as vaulting and dropping. The use of Shock Therapy will cause The Doctor to experience a cool-down of 1.5 seconds to attacking or using his Powers.

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 his Terror Radius not hiding inside a Locker and increasing a Survivor's Madness by 1 Madness Point. Static Blast is then put on a cool-down of 60 seconds.

  • 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.

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 Calling IconPerks aNursesCalling.png or Botany Knowledge IconPerks botanyKnowledge.png.
  • 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 Aura IconHelp auras.png to a Doctor using A Nurse's Calling IconPerks aNursesCalling.png if he was in range. For Survivors, Botany Knowledge IconPerks botanyKnowledge.png would speed up the process.
    • Interactions with Coulrophobia IconPerks coulrophobia.png and the Mangled IconStatusEffects mangled.png 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.


  • Illusionary Doctors at default last for 1 second.
    • When attempting to spawn one, the Game will pick a spawn point 6 metres in the direction the Survivor's camera is facing, then place the Illusionary Doctor anywhere within 4 metres from that initial point.
    • The Game will attempt to spawn an Illusionary Doctor randomly in a given time interval.
      • Madness II: any time between 16 and 32 seconds.
      • Madness III: 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 Deep Wound IconStatusEffects deepWound.png cannot mend themselves while in Madness Tier III, because the Snap Out of It action takes priority.


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