Why isn't there a saving throw for this effect?
personally real death is less annoying.
I changed that complete and gave corruption manifestations instead of insanities and it's worked brilliantly: it represents the PCs minds unraveling because of their fugue state (given them further reason to find what really happened to them) and it's more fine-grained than most insanities.
What corruptions did you use?
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I tailored them to the PCs. It created some really fun roleplay opportunities but certainly requires a mature gaming group to avoid getting out of hand (at least with the way we played it). If you're interested in knowing more about how it went, here's our campaign journal.