I am trying an asylum adventure and looking for a villain to use for inside. Here some ideals I have been given.
1: inmate a insane vampire unknown to anyone
2. Evil wizard experiments on inmates.
3. Evil necromancer cleric or wizard making flesh golems from dead.
4. Drunken administrator unaware of his assistant is evil person doing things to the inmates.
5. Other creature killing the inmates
Please leave your ideals on one of these or others ideals you may have
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Carrion Crown adventure path starts off in an Asylum/prison, I'll look into it.
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What if one of the inmates was a werewolf? Then you could have the whole "you gotta let me out of here! Please, believe me! I'm a monster--A MONSTER!"
"Yeah, yeah. Sure you are. Now quiet down in there!"-sort of bit.
Or maybe some nasty thing possessed them, or implanted eggs inside them.
I mean. You could even do that PLUS the evil wizard. If the party is careful and smart, they could help turn the monster against the mad doctor.
And as for flesh golems...who says the poor souls need to be dead first? I mean...the Bestiary, obviously. But if you want to amp up the horror, I think it would be a pretty solid choice.
But I would urge caution, at least to a point. Mental illness is a tough subject for a lot of people. You don't want to misrepresent something that someone at your table has dealt with, or reduce all mental illness to "those crazies".
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1) The Captain/Superintendent, the 2nd in command under the Warden, was bitten by a vampire roughly 2 years ago, and has been able to keep it a secret by steadily increasing blood-work and blood-draws for "inmate health" reasons, and then taking solely night shifts and raiding the blood bag locker at night. Except the last time he raided the blood bags, there was only one in there, and now he's becoming feral... and soon, he'll be forced to start hunting the townsfolk or attacking guards/inmates.
2) The Warden has been dominated by a Mindflayer and has been strategically setting out Phrenic Anchors all over town, and these Phrenic Anchors are designed to trap the minds of the townsfolk while they sleep, causing them to become insane and be admitted to the Asylum. The Mindflayer can't kill a prisoner right away, or else it would attract too much attention; so the Mindflayer takes great joy in manifesting Induce Nightmare upon new prisoners to drive them to new levels of madness, and demoralize any of their would-be visitors by causing their mental anguish to be on full display; many visitors give up after only a few years, resigning their loved one to be a "lost cause". Once a particular victim hasn't had any visitors in a while, the Mindflayer can devour his brain with little to no protest or red flag alarms going off. The Story Hook: The PC's arrive at McSleepyTown and meet a dwarf named TotallyNormalDwarf with a completely worthless side quest, like his brother is an avid cliffjumping fiend or something, and went out to Cliffjump Rock for a weekend of diving and hasn't returned. The PC's can take the quest to find him, or not, but regardless, a couple days later, TotallyNormalDwarf has completely snapped with a full mental breakdown, and now he's got a mohawk and he's drinking Elven Mint Julips with a raised pinky finger while listening to Half-Orcish Death Metal cranked all the way to 11, and has no recollection of ever talking to the PC's a few days ago, and he gets forcibly dragged off to the Asylum right in front of them.
3) The Prison's Executioner is a Sangudaemon who "fakes" the killing of prisoners that he is supposed to execute, and then takes them to his own terrifying dungeon of horrors where the victims are cocooned and slowly fed upon. Except, the supply of executions has been running a little slim as of late, and this Sangudaemon is throwing a bloodbath party for other Sangudaemons soon. Story Hook: Out of necessity, this Sangudaemon is painting strange symbols in blood like graffiti throughout town, either in alleys or inconspicuous locations that are "out of the way". When the townsfolk read these symbols, they become possessed, and mindlessly-wander wherever the Sangudaemon has instructed them to be "collected". The Sangudaemon is not desparate yet, but will become desperate if the PC's thwart his symbol strategy...