As sanity slips away, draw Madness Cards to decide your character’s mental affliction.
‘In a mad world, only the mad are sane!’
— Akira Kurosawa

A pack of Madness Cards contains 60 cards; two copies of 30 unique afflictions, each with a short term, long term, and indefinite madness, including afflictions from Arcanaphobia to Zoophobia, compatible with the Fifth Edition OGL.
Check It Out
You can see our in-depth look at the Madness Cards on YouTube:
The free printable rules leaflet is available on Drive Thru RPG. It goes into the differences between the cards and the madness rules in the Dungeon Master’s Guide. It’s not a big difference, really, and we’ve tried to keep these as intuitive as possible.

The cards themselves are pre-cut, poker-sized, with rounded corners, and they come in a handy card box.
Our Design Philosophy
Madness Cards were designed to be intuitive, with all the rules you need printed on each card. Nobody wants to page through reams of text at the table, so having everything on a poker-sized cards makes things easy. We included two copies of each card so that the DM and afflicted character’s player could each have a copy.
We wanted a connection between the various madnesses, so here each card’s content is grouped by affliction, such as Vampirism, Claustrophobic, or Delusions of Grandeur. Each level of madness affects your character in different ways, with short term madness mostly affecting combat and indefinite madness affecting how you roleplay your character.
Most of the rules text is brand new, so you can give up on that stuffy old table in the DMG.
South African Limited Print Run
If you’re in South Africa and are interested in a pack or two, let me know by contacting us through our Contact Page. We’re looking to do a limited print run of the cards locally, to defer some of the high import costs involved in getting the cards from the US.
Hi there, I’m Rodney.
Writer, Game Designer, Editor, Kitbasher, Skateboarder, and Ork ‘Ed Banga. But Nothing Without Christ!