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Sanity: Descent Into Madness

by croissantnova

Sanity: Descent Into Madness adds a sanity meter to Forge worlds, where falling mental health brings visual distortions and attacks from inner entities.

ForgeClient and serverMIT LicenseOpen source1.16 – 1.20.1

What it does

Sanity is a second survival vital next to health. As it drops, the player sees and hears things that are not there, the view grows muddy and blurry, and the mind clouds, until inner entities begin attacking. Certain mobs also react to the player's unstable condition.

A garland crafted from small flowers is the first aid for the meter and helps the player hold sanity for longer, although water makes it wither much faster. The mod can be tuned through a configuration file, and it supports settings that differ by dimension. Geckolib is required, and Project LOTM also requires this mod.

The code is open source under the MIT License, and the mod is published for Forge across 15 release versions, 1.16 – 1.20.1, with 1.1.0 for 1.19.2 as the latest file. Because it runs on client and server, both the server and every player need it.

Key features

  1. Sanity meter

    A vital that tracks mental health alongside health and hunger, with consequences that can end the run.

  2. Inner entities

    Low sanity summons creations of the player's own mind that attack while the screen distorts.

  3. Flower garland

    A craftable accessory from small flowers that slows the loss of sanity.

  4. Mob reactions

    Some mobs change their behavior toward a player whose sanity is unstable.

Compatibility

Latest build for each game version and loader.

1.20.x2 of 2 versions with builds
1.20.11.1.0
1.201.1.0
1.19.x4 of 4 versions with builds
1.19.41.1.0
1.19.21.1.0
1.19.11.1.0
1.191.1.0
1.18.x3 of 3 versions with builds
1.18.21.1.0
1.18.11.1.0
1.181.1.0
1.16.x6 of 6 versions with builds
1.16.51.0.0
1.16.41.0.0
1.16.31.0.0
1.16.21.0.0
1.16.11.0.0
1.161.0.0
ReleaseBetaAlphaNot available

Only full game releases are shown. This mod publishes no snapshot builds.

Requirements

Dependencies declared by the latest file for each loader.

Required 1

GeckolibA 3D animation library for entities, blocks, items, armor, and more!
Required

Required by 1 mod

Use cases

Survival with mental strain

Players who want a harsher survival pace can treat sanity as a second resource to manage through a run.

Who it’s for: Players and server owners who want a survival mechanic inspired by Don't Starve, with a configuration file to tune its strength.

How it compares

Full comparison

Sanity: Renewed is open source under the MIT License and spans Fabric, Forge and NeoForge for 1.20.1 – 1.21.1, so it covers more loaders and versions than this Forge-only mod. Sanity: Prequel is also open source, under the Apache License 2.0, but targets only 1.12.2 on Forge. Disease of Madness is Forge-only for 1.20.1, released under All rights reserved, and it works on either side, and neither side needs it.

ModLoadersGame versionsEnvironmentUpdated
Sanity: Descent Into MadnessForge1.16 – 1.20.1Client and server2023-07-09
Sanity: RenewedFabric, Forge and NeoForge1.20.1 – 1.21.1Client and server2026-08-24
Sanity: PrequelForge1.12.2Client and server2026-09-05
Disease of MadnessForge1.20.1Client or server, optional2024-05-19

Questions

Does Sanity: Descent Into Madness need Geckolib?

Yes. Geckolib is required, so it must be installed alongside the mod on Forge.

Does the server need the mod?

Yes. Installation covers the server and each player's game.

How are settings changed after an update?

The configuration file should be deleted so it is recreated with the new options. Any personal changes have to be backed up first and reapplied.

In the catalog

Sanity: Descent Into Madness is one of 7,555 Cursed mods on ModsFinder, and one of 3,426 Cursed mods for Forge. 34,764 mods support Minecraft 1.20.1.

Similar mods

What the author says

A Minecraft mod that brings the sanity mechanic from Don't Starve into Minecraft. When updating, make sure to delete the config file so it's recreated and new config changes are applied. You would have to backup your own changes though.
croissantnova, on the Modrinth page

Official listing

Owner
croissantnova
Published
2023-06-17
Updated on Modrinth
2023-07-09
Facts verified
2026-10-15

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