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1A few of the edgier games have a SanityMeter to measure the main character's [[MoraleMechanic morale]] or degree of [[TheCorruption corruption]]. Some actions decrease it, some (precious few) restore it.
2Of course, once you've characterized sanity as a resource, it's a short step to [[ResourcesManagementGameplay spending it like one]], giving the protagonist abilities with desirable results which carry a cost in decreased sanity...
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4This trope is for the use of Sanity as a strategic resource which can be knowingly spent for gains in other areas.
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6The loss of sanity can be temporary -- each spell pushing one closer to a [[RageBreakingPoint psychotic episode]] -- or it can be permanent, with gradual SanitySlippage until the character can no longer function.
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8This is the mental version of PowerDegeneration. If all your powers are Cast From Sanity, you are most likely BlessedWithSuck, but if there's just the one for emergency use, you can consider it a DangerousForbiddenTechnique.
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10The justification for why the Sanity Meter takes a hit from using spells can differ. Maybe the {{Mana}} source is [[MindVirus tainted]], maybe the experience of using the magic [[GoMadFromTheRevelation is itself traumatic]], maybe it's a side effect due to [[BeingHumanSucks human brains being incompatible with magic]] -- or maybe madness is simply the [[EquivalentExchange price you need to pay]].
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12Subtrope of PowerAtAPrice and TheCorruption. Sister trope to WithGreatPowerComesGreatInsanity, and PowerBornOfMadness. Compare and contrast with ThisIsYourBrainOnEvil. In works where permanent sanity loss can be [[SanityStrengthening reversed by spending XP]], this trope overlaps with CastFromExperiencePoints. Other non-traditional and dangerous ways to cast spells include CastFromLifespan and CastFromHitPoints. See also CastFromMoney, which is ''less'' dangerous, but still non-traditional and ([[MoneyForNothing usually]]) not something you want to make a regular habit of.
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15!!Examples:
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17[[foldercontrol]]
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19[[folder:Anime & Manga]]
20* In ''Anime/PuellaMagiMadokaMagica'', magical girls appear to use attacks that are CastFromHitPoints since the use of magic taints their soul gems. [[spoiler:The use of magic actually falls into this category. As a soul gem becomes cloudier, its user becomes more and more mentally unstable until she finally falls into despair and becomes a Witch. Unfortunately, the nature of a soul gem means that its owner is essentially a lich and has to use magic to keep her body functional. This coupled with the monkey's paw-like effects of their wish makes the transformation all but inevitable]].
21* Using magic too often in ''Manga/StraitJacket'' causes the caster to permanently turn into an AxCrazy demon.
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24[[folder:Comic Books]]
25* In the ''IDW ComicBook/{{Ghostbusters}}'', four demons called ''The Collectors'' can be summoned to snatch people and trap them in a PrisonDimension at the cost of the summoner's soul and sanity.
26* In ''ComicBook/{{Die}}'', the Dreaming Lands' wizards cast from memory. A wizard was trying to rescue his children, who'd been transformed into a hydra. He cast a spell to unlock their cage, then forgot the hydra was his children and killed it.
27* Also in ''ComicBook/TheHerderWitch''. Magic requires the sacrifice of a memory to function. Morie's attempt at teaching Yanna spells includes her implanting Yanna with a foreign memory so as to have something she can expend for her practice spell.
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30[[folder:Film]]
31* At least suggested to apply in the film ''[[Film/Overlord2018 Overlord]]'', which features a serum that can essentially bring back the dead; during the conflict, certain cases appear to become more insane as they have to heal from more serious damage, until they regress into basically a mindless beast.
32* Evan from ''Film/TheButterflyEffect'' doesn't have a RippleEffectProofMemory, so every time he changes the past, he gets a lifetime worth of new memories in one go. This starts causing brain damage and {{Psychic Nosebleed}}s the more he alters the past. The DirectorsCut ends with a brain-damaged Evan travelling back to stop himself from being born before he gets carried off to a mental home.
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35[[folder:Literature]]
36* In ''Literature/TheNeverendingStory'', Bastian's [[spoiler: wishing power turns out to require sacrificing memories of the human world. It eventually causes to him to undergo a FaceHeelTurn, due a combination of gradually forgetting who he is at heart and becoming DrunkWithPower]].
37* In ''Literature/TheReckonersTrilogy'', [[spoiler: Jonathan Phaedrus]] is very careful to limit the direct use of his powers, because of this trope. [[spoiler: He becomes increasingly arrogant and WhatMeasureIsANonSuper the more he uses it, unless he spends an extended time period avoiding use of his power. Most Supers in the setting don't know about this fact, and [[AfterTheEnd are by now beyond caring]]. ]]
38* ''Saidin'', the magic used by males in ''Literature/TheWheelOfTime'', is tainted by The Dark One, causing inevitable insanity in its users. As time progresses, one of the main characters begins to show the effects of this, becoming schizophrenic, moody, and temperamental; halfway through the series, he seems like a completely different person, though he ''is'' [[TheChosenOne under a lot of pressure]]... The Forsaken also have access to what they call the True Power, an extremely addictive, ''evil'' flavor of magic that also has serious psychological consequences; most would only consider using it under ''dire'' need.
39* Animus magic in ''Literature/WingsOfFire'' causes dragons to lose bits of their soul with each spell they use, until they become AxCrazy [[spoiler:like Albatross did]]. [[spoiler:Though as the series goes on, it becomes more ambiguous whether this is really the case or it's just the tendency of having that sort of godlike power to corrupt dragons in the normal, mundane way that power corrupts.]]
40* Anton Shudder and Temper Fray's discipline in ''Literature/SkulduggeryPleasant'' involves summoning an evil ghost duplicate called a gist to fight for them. It gets more powerful each time it's used and will eventually have to stop being summoned or it will permanently take over their body.
41* Etherealists from ''Literature/TheCinderSpires'' can directly manipulate etheric currents. The cost is that the energies eat away at their minds and sanity, requiring them to adopt various compulsions to compensate. Force an etherealist to break their compulsion, and they become lost and incoherent. And the longer they're in the business, the worse their situation becomes. As Folly explains to Bridget at one point, Etherealists end up with "holes" in their minds, and the compulsions help them focus and "fill the holes".
42* In ''Literature/{{Anachronauts}}'', magic spells destroy whatever they're written on when cast, and most human mages memorize their spells, meaning some brain cells get fried with every casting.
43** Emily is/was CursedWithAwesome to be unable to memorize spells, and has to copy them and read them to cast them, retaining her sanity, and prefers utility spells, which means she has to think tactically in a way that tends to elude the other human witches (sanity loss) as well as the elves who trained them (not very creative).
44* In ''Literature/HaremInTheLabyrinthOfAnotherWorld'', mana doubles as your SanityMeter, and the protagonist becomes suicidally depressed after spending most his mana casting his first spell. He later learns that it is common for dwarven master smiths to commit suicide after their first time creating a magic item, due to the same effect.
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47[[folder:Tabletop Games]]
48* The {{Trope Maker|s}}. Every spell cast in ''TabletopGame/CallOfCthulhu'' takes a toll on your mind. And increasing your Mythos knowledge (used to cast spells) ''permanently'' lowers your Sanity stat.
49* In ''TabletopGame/{{Exalted}}'', some powerful charms explicitly gain you Limit, taking you closer to a psychotic episode.
50* In ''TabletopGame/MagicTheGathering'', this is the case for decks built around the keyword abilities Hellbent, Madness (yeah) and, to a lesser extent, Dredge. Sanity is represented by the cards left in your hand and in your library; an empty hand is unstable, an empty library is when a planeswalker is going to completely lose their mind. Madness allows you to sacrifice short-term sanity to play the card you're discarding cheaply; Hellbent denotes cards that gain an advantage when your hand is empty; and Dredge allows you to affect your long-term sanity to recover things from your graveyard.
51* Most cards in the ''Necronomicon'' flash card game, with the notable exceptions of Mi-Go Surgery and some low-damage mundane weapons. There are a handful of sanity-restoring cards as well.
52* Summoning demons in ''TabletopGame/Sorcerer2001'' has a high chance of lowering the summoner's Humanity (which acts as both a SanityMeter and a KarmaMeter in this game).
53* ''TabletopGame/VampireTheRequiem'' has a few of the most powerful Theban Sorcery spells cost Willpower Dots; once cast, the stat ''itself'' goes down. Characters can [[CastFromExperiencePoints spend XP to buy it back up to the previous level]], but until then they're essentially less able to expend mental and emotional energy. Interestingly, creating a new vampire requires the exact same expenditure on part of the vampire's sire. The setting details some sires who mass embrace too many, too quickly, and become emotional wrecks unable to hold themselves together.
54* In ''TabletopGame/MageTheAwakening'', Antinomian Sorcery channels the reality-eroding power of the Abyss and threatens the combined {{Karma|Meter}}/SanityMeter with each use, thanks to it linking its practitioners' souls to a gangrenous realm of Things That Cannot Exist instead of the pure Truth of the Supernal Realms.
55* In ''TabletopGame/GeniusTheTransgression'', the more powerful you become, the less able you are to connect to real science. And spending too long generating Mania or spending too much at once causes you to possibly become an [[IRejectYourReality Unmada]], and after that, you risk becoming [[TheSoulless Illuminated]].
56* Many spells in the ''TabletopGame/ArkhamHorror'' board game have a sanity cost to play, as does the use of Elder Signs to close and seal planar gates; in the Franchise/CthulhuMythos, that sort of thing draws on higher orders of reality than the human mind can comfortably process -- like the ones the {{Eldritch Abomination}}s come from.
57* Seems to be a common means of limiting magic use in ''UsefulNotes/{{Fate}}'' games.
58** In ''TabletopGame/TheDresdenFiles'' RPG evocation causes a mandatory hit to the mental stress track, and you can voluntarily take more to boost the skill check, with a potential for consequences or a physical blowback.
59** In the Fate conversion of ''TabletopGame/EclipsePhase'' asyncs can boost their [[PsychicPowers psi-sleights]] by risking mental stress, which can lead to mental disorders as consequences. In contrast to the original EP rules, where asyncs risk their [[CastFromHitPoints hit points]] and go permanently insane in the process of gaining their [[WithGreatPowerComesGreatInsanity powers]].
60** In ''TabletopGame/BaseRaiders'' magic users are required to either take an obsession aspect or a "taint of magic", and can take Composure stress in order to pass a check that came up short.
61* The "Horror Adventures" supplement for ''TabletopGame/{{Pathfinder}}'' includes an optional SanityMeter system, and some spells cost sanity (in addition to their normal casting cost) if this is used.
62* In ''TabletopGame/StarsWithoutNumber'' psychics can "torch" to temporarily boost their power, which has a 2 in 6 chance of decreasing their Wisdom score, and an equal chance of hurting their [[CastFromHitPoints Constitution]]. If their WIS drops low enough they become feral and can Torch with impunity from then on.
63* [[Literature/TheElminsterSeries Elminster]] from ''TabletopGame/ForgottenRealms'' has been like this since the Spellplague.
64* ''TabletopGame/PrincessTheHopeful:'' Both Lacrima (the Invocation of Tears) and Specchio (the Invocation of Mirrors) have this drawback, though in slightly different ways (the third Twilight Invocation, Tempesta, uses CastFromHitPoints instead).
65** Lacrima is all about protecting the ones ''you'' care for, no matter the cost to everyone else, and its powers draw heavily on the magics of darkness and despair. For this reason, using many of Lacrima's more powerful charms can cause a Princess to lose [[KarmaMeter Belief]].
66** Specchio, on the other hand, is fueled by and causes narcissism and solipsism. Every scene where a Princess uses Specchio in any way, she must succeed on a roll or gain one of several detrimental mental conditions.
67** And {{Inverted}} by the [[FallenHero Dethroned]], who consume their traumas and self-loathing to fuel their powers.
68* ''TabletopGame/BeastThePrimordial:'' A Beast's KarmaMeter is Satiety, which represents how well-fed the Beast's HorrorHunger is. You refill it by harming others in some way, and in turn it is gradually burnt off to sustain your Horror. However, you can ''also'' spend Satiety points to use more powerful versions of [[MindRape Nightmares]] or [[LovecraftianSuperpower Atavisms]], add Chambers to your [[EldritchLocation Lair]], or perform a few other feats of power.
69* ''TabletopGame/TheOneRing'': A major game mechanic is the use of Hope points to turn a failure into a success or power other abilities. Spend too many Hope points, however, and your character risks bouts of madness, despair, or even eventually becoming an NPC.
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72[[folder:Video Games]]
73* The original ''VideoGame/BioShock1'' was going to have a variation of this as a mechanic: The player character would become more disfigured and more insane the more [[LegoGenetics Plasmids]] the player chose to use ([[SlidingScaleOfGameplayAndStoryIntegration much like the Splicers]] [[HeWhoFightsMonsters he defends himself against]]). This was scrapped, presumably because it would've limited the gameplay way too much ([[GameplayAndStorySegregation even if it would've made sense within the game's lore]]).
74* ''VideoGame/{{Bloodborne}}'' has an odd variation- one's Insight (Enlightenment in the orignal) doubles as a form of currency with the Messengers of the Hunter's Dream, and so the player can purchase various useful items with their knowledge of cosmic truth.
75* In ''VideoGame/DarkestDungeon'', some otherwise positive abilities lower the morale of the party when used, those abilities being:
76** The Abomination's Beast form is very powerful in combat, but transforming into the state unnerves the rest of your party, while staying in that form freaks out the Abomination himself. Thankfully, transforming back into a human recovers some of the party's Stress, while the Abomination has a skill to allow himself to regain some sanity in human form.
77** Most of the Abomination's camping skills also come at the cost of some sanity. Anger Management (lower the party's stress levels) has a flat Stress cost to the Abomination, Eldritch Blood offers a strong buffing effect but increases his sanity loss while it's active, and Psych Up (raise the Abomination's damage output) stresses out the other party members (''especially'' religious ones).
78** ''All'' of the Occultist's unique camping skills will come at a detriment to his Stress or that of his party, fittingly for a LovecraftianSuperpower. Dark Strength (raise one party member's damage output) and Dark Ritual (heal one ally greatly) stress out the Occultist when used, while Abandon Hope (lower's the Occultist's own Stress levels) and Unspeakable Commune (Prevents a [[RandomEncounters nighttime ambush]]) stress out the rest of the party.
79** Some other camping skills of the party provide beneficial effects at the cost of some Stress. Some of them work similarly to the Occultist's Abandon Hope (namely, the Hellion's Reject the Gods and the Leper's Let the Mask Down), while the Jester's Mockery de-Stresses two party members at the cost of that of another's Stress levels.
80* ''VideoGame/DawnOfWar'':
81** Psykers lose morale when casting lightning (the original effect, still present in the tooltip, was a possibility of ''killing'' the psyker).
82** In Chaos Rising, you can find Chaos-corrupted wargear, which tends to be much better than standard equipment, but causes the character to fall towards Chaos and gain evil traits and abilities, along with determining the identity of the traitor in the team. Conversely, you can find "penitent" equipment that restricts the character's stats, but reduces their corruption.
83* In ''VideoGame/DontStarve'', using magic staves consume some amount of the player's sanity, in addition to [[BreakableWeapons bringing the staff one step close to breaking]]. Also, Wickerbottom's books have powerful effects but all consume massive amounts of sanity.
84* Summon spells in ''VideoGame/EternalDarkness'' gradually cause the player to go insane.
85* In ''VideoGame/LostDimension'', using PsychicPowers reduces the user's sanity meter.
86* In ''VideoGame/{{Monark}}'', using the supernatural "Authority" skills will cost a certain amount of the caster's sanity. Should their [[SanityMeter MAD Gauge]] reach 100%, they will go into the "Madness" state, gain a massive stat boost and defense penalty, and start attacking friend and foe indiscriminately, then die 3 turns later if untreated. The only way to mitigate this is to either lower the gauge through Mood Stabilizers or Madness reducing arts from other characters, or to Resonate with an "Awakened" character at the same time the target is in Madness, to achieve the "Enlightenment" status, [[LimitBreak providing all the stat bonuses and other benefits without the loss of control]].
87* ''VideoGame/MegaManBattleNetwork'': using the Dark Chips in [=BN4=] and [=BN5=] takes away your "sanity" from the invisible sanity gauge. Using them frequently enough will always make Mega Man be in the "dark" state, where he can get access to certain other powerful chips, but disables Soul Unisons and makes him unable to use "holy" chips like Sanctuary or Gun Del Sol. To get out of such a state, you have to do battles without using those chips, and you'll gradually turn better.
88* ''VideoGame/PhysicalExorcismCase01'': SAN is the game's equivalent of MP for using skills, but if it drops to 0, the character will become insane and uncontrollable. Ectoplasm can be consumed to restore sanity.
89* In Level 9's text adventure ''The Price of Magik'', the title is a reference to this trope; casting spells is one way to reduce the player's sanity score, and the more advanced spells require sanity to be below a given threshold before they can be cast.
90* ''VideoGame/ShadowHearts'' series: Harmonixers, people who can [[HenshinHero transform into monsters]], have to endure the monster attacking their psyche during the fusion. Gameplay-wise Harmonixers must either spend a lot of Sanity Points at once to fuse (in the first game), or spend several Sanity Points, instead of one, at each turn. Story-wise, a Harmonixer who can't handle the monster's influence gets possessed by it, and goes Berserk, requiring someone to BeatTheCurseOutOfHim or even deliver a MercyKill.
91* In ''VideoGame/WorldOfHorror'', certain spells cost Reason (the game's Sanity stat).
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94[[folder:Webcomics]]
95* ''Webcomic/TwoKinds'':
96** Dark Mana spells [[WithGreatPowerComesGreatInsanity damage the caster's mind]] (this was what led to Trace going AxCrazy), and will eventually kill you if you keep using them.
97** Regular magic does this to Basitin who cast it, which is the basis of the Templar conspiracy on their island: Teach them magic and encourage them to destroy themselves.
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100[[folder:Western Animation]]
101* In ''WesternAnimation/AdventureTime'', the more Simon Petrikov uses the Ice Crown, the more he loses his mind and becomes dependent on it. The key moment where he lost most of his sanity and became the Ice King (or rather [[spoiler:an "Evergreen copy"]]) happened when [[spoiler:he used it to protect Marceline from a group of radioactive zombies]].
102* The Alicorn Amulet from ''WesternAnimation/MyLittlePonyFriendshipIsMagic'' corrupts its user with every use, though the user can return to normal by taking it off (and only by herself).
103* Eda Clawthorne from ''WesternAnimation/TheOwlHouse'' was cursed to turn into a mindless owl monster. It turns out her transformations are becoming more frequent with the more magic she uses and will eventually become permanent. [[spoiler:Her sister is able to restore her mind by absorbing half of the curse into herself, but she's still out of magic. So she decides to imitate Luz's GeometricMagic that draws from the Titan's BackgroundMagicField.]]
104* Doc Seismic from ''[[WesternAnimation/Invincible2021 Invincible]]'' is losing his sanity from his earthquake causing gauntlets as they give him a concussion every time he uses them.
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