This derangement represents difficulty interacting with reality, with manifestations from hallucinations to catatonic withdrawal. The player determines a specific pattern of behavior relevant to the derangement, such as being driven by imaginary voices or perceiving people as hideous monsters.

In situations that trigger a character’s schizophrenic behavior, the difficulties of all rolls to resist or redirect frenzy are increased by three, and the character loses three dice from all Willpower rolls.