Sanity: Renewed
Sanity: Renewed adds a sanity meter that drops with darkness, isolation, bad food and hostile monsters nearby, and that shapes what players see and hear as it falls.
What it does
Sanity is a meter that sits beside hunger and health. Actions such as eating rotten flesh, getting wet in rain or ocean, taking damage, moving through cobwebs, listening to Disc 11 or breaking infested blocks lower it, and the amounts are configurable. Some actions restore it instead. As sanity falls, sounds echo, vision blurs and unstable shadows appear at a distance, followed by hallucinations. Ignoring a low mental state for too long lets Inner creatures emerge.
Sanity: Renewed is a Forge, Fabric and NeoForge mod for Minecraft 1.20.1 – 1.21.1, released under the MIT License and open source. A server running it needs every connecting player to have it too. It is an unofficial continuation of Sanity, first made by croissantnova as Descent Madness for Forge 1.16 – 1.20.1, and is maintained by Antikythera Studios. The author took it over because the original had not been updated since 2023; older versions remain on the original author's page.
Key features
Sanity meter
A meter tracks mental state alongside hunger and health and changes with what the player does in the world.
Sanity-lowering actions
Eating bad food, taking damage, walking through cobwebs and breaking infested blocks all reduce sanity.
Visual and audio distortion
Low sanity brings echoing sounds, blurred vision, shadows and hallucinations.
Inner creatures
Ignoring a low mental state for too long lets deadly Inner creatures manifest.
Gallery
Compatibility
Latest build for each game version and loader.
Only full game releases are shown. This mod publishes no snapshot builds.
Use cases
Harder survival play
Players who want new pressure beyond hunger and health can add the sanity mechanic to a survival world.
Who it’s for: Survival players and server owners who want a horror-leaning challenge in multiplayer worlds. Both sides need the mod, so it fits servers that can install it for all players.
How it compares
Sanity: Descent Into Madness is the Forge 1.16 – 1.20.1 original this project continues, and it is also MIT licensed and open source. R's Sanity System is a Forge and NeoForge mod for 1.20.1 – 1.21.4 under All rights reserved, so its code is not open source. Sanity System is Fabric-only for 1.21.4.
| Mod | Loaders | Game versions | Environment | Updated |
|---|---|---|---|---|
| Sanity: Renewed | Fabric, Forge and NeoForge | 1.20.1 – 1.21.1 | Client and server | 2026-08-24 |
| Sanity: Descent Into Madness | Forge | 1.16 – 1.20.1 | Client and server | 2023-07-09 |
| R's Sanity System | Forge and NeoForge | 1.20.1 – 1.21.4 | Client and server | 2025-12-22 |
| Sanity System | Fabric | 1.21.4 | Client and server | 2026-03-31 |
Questions
Does Sanity: Renewed need to be installed on the server?
Which loaders does Sanity: Renewed support?
Can the sanity effects be tuned?
More from MetalKnight56
What the author says
Sanity: Renewed introduces a sanity meter inspired by Don't Starve, adding a new mechanic that forces players to manage their mental state alongside hunger and health. Darkness, isolation, hostile creatures, and dangerous situations slowly chip away at your sanity creating scary new situations & events around you…
Official listing
- Modrinth page
- modrinth.com/mod/sanity-renewed
- Owner
- MetalKnight56
- Published
- 2026-05-21
- Updated on Modrinth
- 2026-08-24
- Facts verified
- 2026-10-15