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[[quoteright:200:[[WesternAnimation/MyLittlePonyFriendshipIsMagic http://static.tvtropes.org/pmwiki/pub/images/mlpfim_madnessmakeover_1472.jpg]]]]
[[caption-width-right:200:''[[WesternAnimation/TheFairlyOddParents Tell me I'm pretty.]] [[SuddenlyShouting TELL ME I'M PRETTY!!]]'']]

Much like the EvilMakeover occurs when Alice has her FaceHeelTurn, a Madness Makeover occurs when Bob finally snaps. It's often a slow and gradual process, that becomes more and more apparent as his SanitySlippage goes on.

A common first change is his hair becoming unkempt or Bob attempting to give himself an ImportantHaircut. If he doesn't, he'll probably have MessyHair, at least, in line with the rest of his grooming getting worse. In addition, his eyes may change, either by way of their [[OpenTheIris pupils shrinking or growing,]] etc, or lines and bags appearing, especially if his madness is caused by (or leads to) sleep deprivation. As Bob's sanity slips, his clothes begin getting dirty and wrinkled, he loses his posture and finally, he begins smiling a BrokenSmile, perhaps even starting to recite a MadnessMantra.

Alternatively, the Madness Makeover can take on the CreepyCleanliness variety. Little by little, the character will start dressing more sharply. Others will dismiss this change in [[SharpDressedMan him]] or [[TheFashionista her]] to be [[SheCleansUpNicely S/he Cleans Up Nicely]], not knowing that this is a warning sign of their SanitySlippage until it is too late.



[[folder:Anime and Manga]]
* ''Manga/SoulEater'' has a combo example of a Madness and EvilMakeover: [[spoiler:Justin Law is revealed to have been the one that murdered BJ and secretly become a disciple of the Kishin. Naturally, his new evil/mad outlook comes with a new evil/mad wardrobe, as all of his previously priestly adornments are replaced with the three-eyes of the Kishin.]]
** In the anime, Stein slowly starts to go crazy and change his look. He starts by looking more tired, and works his way to forgetting his glasses, wearing his labcoat half-off one shoulder, and walking around hunched over while muttering a MadnessMantra. And he's STILL the most badass character in the show besides the PhysicalGod Shinigami-sama.
* Precia of ''Anime/MagicalGirlLyricalNanoha''. Sane Precia is a kindly smiling woman with hair neatly combed back. Insane Precia is a madly laughing woman prone to pupil shrinkage with [[PeekABangs unkempt hair that's always covering one of her eyes]].
** Also, Sane!Precia has a much better fashion sense. Insane!Precia... [[FanDisservice We]][[AbsoluteCleavage ll]]...
* [[PsychoForHire Claire Stanfield]] from ''LightNovel/{{Baccano}}'' is introduced [[http://img.photobucket.com/albums/v102/Ensuing/Baccano9/Baccano_25.jpg looking innocent and inconspicuous enough (spoiler, folks!)]] that you might mistake him for completely sane. This, naturally, has to be remedied -- so he [[http://img.photobucket.com/albums/v102/Ensuing/Baccano12/Baccano_45.jpg drenches himself from head to toe in the blood of his victims]] and alternates his facial expressions between [[http://img.photobucket.com/albums/v102/Ensuing/Baccano_59-1.jpg crazy psychotic grins]] and...well, even ''more'' [[http://img.photobucket.com/albums/v102/Ensuing/Baccano9/Baccano_28.jpg crazy psychotic grins.]] And that's before he turns on his GlowingEyesOfDoom...
* If you were to collect all of the before and after shots of the VisualNovel/HigurashiWhenTheyCry cast, in a few cases, you'd be hard-pressed to believe it was the same character. Shion's probably the most obvious case, but there are some of Rena that would give them a run for their money.
%% ZCE: * Casca of ''{{Manga/Berserk}}''.

[[folder:Comic Books]]
* In ''ComicBook/TheSandman'', Delirium, who used to be Delight, gets one of these, though it's implied in a FlashBack rather than seen in-story. As Delight, she's shown to have normal hair and be wearing nice dresses, but after she changes to Delirium, she has MulticoloredHair, different colored eyes, and a wardrobe that would best be described as eccentric. There's also something of a reverse example (though not necessarily an inversion) when Delirium forces the madness back at one point and her eyes become the same color as a result.
* Franchise/{{Batman}}: The origin of Harley Quinn. At the culmination of her being twisted and manipulated by ComicBook/TheJoker, she robs a costume shop to get her villain costume, which she promptly dons to break the Joker out of Arkham
* [[ComicBook/ElongatedMan Ralph Dibny's]] appearance in ''ComicBook/FiftyTwo'' becomes more and more disheveled as his obsession with dark secrets to bring his wife back to life grows stronger. Then, in his final appearance, [[spoiler:he is sober and elegant once again and his behavior is professional and heroic]].

[[folder:Films -- Animated]]
* Happens to Alex in ''WesternAnimation/{{Madagascar}}'' as he succumbs to hunger.

[[folder:Films -- Live-Action]]
* The narrator in ''Film/FightClub'' becomes more beat-up and disheveled as the movie progresses, a clue that [[spoiler: he actually is crazy]].
* Interesting example in the horror film ''Film/{{May}}'': dowdy, frumpy May becomes stylishly gorgeous as she slips into homicidal madness.
* Sméagol in ''Film/TheLordOfTheRings'' goes from being a Hobbit to a shrivelled, psychotic creature as the [[ArtifactOfDoom One Ring]] erodes his sanity.
* In a more comical example, Scott Evil goes through this in the third installment of the ''Film/AustinPowers'' series whilst trying to win his father's affection. First order of business: [[HereditaryHairstyle go bald.]]

* In ''Literature/HouseOfLeaves'', Johnny doesn't become aware until well into the novel that he is looking more disheveled and crazy the more he obsesses over the manuscript, neglecting himself so much that his teeth start to rot by the end of the book.
* Literature/{{Dracula}}:
** Lucy gets all slinky and sensual as she falls under Literature/{{Dracula}}'s spell. Oddly this is not considered an improvement by her faithful suitors. [[http://harkavagrant.com/index.php?id=285 Riffed on]] by Creator/KateBeaton.
** The French musical ''Dracula: l'Amour plus fort que la Mort'' (''Dracula: a Love Stronger than Death'') chooses a different tactic: Lucy goes from a flirtatious, extravagant, sensual young LadyInRed to a dazed, vampiric [[TheOphelia Ophelia]] in white who pleads childishly to be spared rather than attempting to seduce her slayers.
* Sir Lancelot in ''Literature/LeMorteDarthur'' is so unkempt after running mad from his love for Guinevere that nobody recognizes him.
* Literature/SisterhoodSeries by Creator/FernMichaels: Rosemary Hershey started out as beautiful in an artificial way. However, when the pressure, guilt and stress of her crimes come back to haunt her, this trope hits her hard. She ends up looking like something the cat dragged in, looking deranged, and several characters commenting on her dramatic change in appearance.
* The [[Franchise/StarWarsExpandedUniverse Star Wars]] Literature/DarkNestTrilogy reintroduces us to Jedi Raynar Thule, who went missing during the Literature/NewJediOrder series. Since then he was involved in a horrendous starship crash, had most of face burned off, and got [[MindRape mind raped]] by a colony of sentient insects while they [[UnwantedAssistance saved his life]], ultimately becoming their heavily disfigured dictator. He makes a HeelFaceTurn in the end, and reappears in the ''Literature/FateOfTheJedi'' series as a fully functioning jedi, though he's still this trope due to partial insanity and his plasticky facial reconstructive surgery.
* In ''Literature/TheWomanInWhite'', Laura Fairlie changes appearance after all she suffers at the hands of her husband. This change in appearance coincides with a weakening of her mental faculties.
* ''Literature/HarryPotter'' Post-Azkaban Sirius Black, although he isn't technically ''insane'', just wracked with SurvivorGuilt and post-traumatic stress disorder.

[[folder:Live Action TV]]
* In ''Series/{{Community}}'' Chang has a [[TalkingToThemself conversation with himself]] where the 'evil' Chang camera angle showed him with wild hair and the 'good' Chang camera angle had neat combed hair.
* The ''Series/{{Firefly}}'' tie-in series ''The R. Tam Sessions'' shows River's [[SanitySlippage descent into insanity]] while at the Academy. The first "session" shows River as a happy, cheerful girl wearing clean clothes and with well-tended hair. However, as the series progresses, River's hair becomes ragged, tangled and unkempt, her face becomes more twisted and her clothes become a dirty mixture of hospital garb and prison clothes, on top of her steadily more manic and insane mannerisms and dialogue.

* OlderThanSteam: Ophelia famously becomes ungroomed as well as unstrung after Theatre/{{Hamlet}} breaks up with her in Creator/WilliamShakespeare's play.

[[folder:Video Games]]
* In ''[[VideoGame/WarCraft Warcraft 3]]'', Arthas gets both one of these AND an EvilMakeover.
* Although SKX (Serial Killer X) from ''VideoGame/CondemnedCriminalOrigins'' was never sane, his appearance and mannerisms certainly worsen by [[VideoGame/Condemned2Bloodshot sequel]]. He goes from looking semi-normal, to shaving off his hair, carving an "X" on his forehead, having half his face shot off, having eyes that would freak most people out, wearing only a blood-stained butcher apron, and at the end of the game, [[spoiler: having a completely mutilated face from wearing Oro mouthgear.]]

[[folder:Visual Novels]]
* In ''VisualNovel/FateStayNight'' and its supplementary materials and spinoffs, the Berserker class's inherit skill - "[[PowerBornOfMadness Mad Enhancement]]" - alters their appearance to be more ferocious and sinister.

* Jack after his encounter with Zimmy's hallucinations in ''Webcomic/GunnerkriggCourt''.
* [[spoiler: Dave]] in ''Webcomic/{{Narbonic}}''.
* Though it's mostly due to trance-deprivation, Vaarsuvius of ''Webcomic/TheOrderOfTheStick'' appears to be getting one of these. [[AmbiguousGender Their]] hair is unkempt, their face is pale and lined with veins, and their robes have grown filthy. Later it gets replaced with EvilMakeover.
* When Oasis goes crazy(er) in ''Webcomic/SluggyFreelance'', she gives herself an ImportantHaircut (cutting her AnimeHair into shorter, black-dyed mess) and starts carving letters onto her arms with a knife.

[[folder:Western Animation]]
* Azula in ''WesternAnimation/AvatarTheLastAirbender'', during the series finale when she has her VillainousBreakdown. By the end, her hair is unkempt, her eyes are lined and baggy, her posture's [[LimpAndLivid taken a dive]], and she's alternating between LaughingMad and sobbing.
* ''WesternAnimation/MyLittlePonyFriendshipIsMagic'':
** In the episode [[Recap/MyLittlePonyFriendshipIsMagicS1E25PartyOfOne "Party of One"]], when Pinkie Pie starts thinking that all her friends no longer like her or her parties, she goes through the inverse of the hair example mentioned above: [[ExpressiveHair her normally poofy mane and tail straighten out completely]]. On top of that, [[ColorFailure her entire body becomes slightly desaturated in color]] to a more muted, gray-toned pink. It also seems to get darker, so she looks like she's constantly in shadow. (She gets better when she realizes they don't hate her, though.)
** Fluttershy and Twilight Sparkle also get unintended expressive makeovers in "[[Recap/MyLittlePonyFriendshipIsMagicS1E26TheBestNightEver The Best Night Ever]]" and "[[Recap/MyLittlePonyFriendshipIsMagicS2E3LessonZero Lesson Zero]]" respectively (Twilight's is pictured above), and it's played much more straight. More minor examples include Twilight Sparkle in "[[Recap/MyLittlePonyFriendshipIsMagicS1E10SwarmOfTheCentury Swarm of the Century]]" and Rarity in "[[Recap/MyLittlePonyFriendshipIsMagicS1E14SuitedForSuccess Suited for Success]]". Applejack in "[[Recap/MyLittlePonyFriendshipIsMagicS1E4ApplebuckSeason Applebuck Season]]" is a borderline case, since she never quite snaps, but otherwise plays the trope straight.
*** Twilight ends up with a {{Slasher Smile}}, twitchy eyes (and ears), [[{{WideEyesAndShrunkenIrises}} pinpoint irises]] and a ''bird's nest'' on her head, which is just a ''little'' bit creepy...
---> '''Twilight:''' Hiiii girls! *ear twitch*
*** In Fluttershy's case, she gets a twitchy eye, her mane is messed up slightly, and her Gala dress is torn. She also [[LaughingMad starts laughing]] like the [[Film/TheWizardOfOz Wicked Witch of the West]], and yes, her pupils shrink in some scenes.
---> '''Fluttershy:''' I'll catch you yet, my pretties. Oh yes. As soon as one of you little ''birds'', or ''monkeys'', or '''''bears''''' touches this net... you'll be MINE! MINE!!! Hahahahaha!
** The Return of Harmony plays with this: The further they fall under Discord's influence, the more desaturated each pony becomes altogether - the tones are actually shown spreading across them. When entirely under his control, they go completely gray-scale.
** You do not want to see Princess Luna lose her sanity - as demonstrated in the [[Recap/MyLittlePonyFriendshipIsMagicS1E1MareintheMoon pilot]] [[Recap/MyLittlePonyFriendshipISMagicS1E2ElementsOfHarmony episode]], where her SuperpoweredEvilSide was the series' first BigBad. Her EvilCostumeSwitch is a bit more total, gaining sinister blue armor, but having her blue fur turn jet black.
** Rarity has [[NightmareFuel a rather graphic one]] in Sweetie Belle's BadFuture nightmare from ''[[Recap/MyLittlePonyFriendshipIsMagicS4E20ForWhomTheSweetieBelleToils For Whom The Sweetie Belle Toils]]'', including a ragged mane, [[AngstComa catatonia]] [[TroubledFetalPosition in a fetal position]], [[GrossUpCloseUp bloodshot eyes]] [[WideEyesAndShrunkenIrises with shrunken irises]], a TwitchyEye, and chattering teeth.
* Fry in ''WesternAnimation/{{Futurama}}'' gets one of these during [[GoAmongMadPeople his extended stay in a robot insane asylum]], partly due to him ''actually'' going insane, partly due to the various "[[UnwantedAssistance treatments]]".
* Morph of the ''WesternAnimation/XMen'' animated series was left for dead, and when he returned after a FaceHeelTurn, he had deeply sunken in eyes and his skin looked jaundiced..
* Ezekiel from ''[[WesternAnimation/TotalDramaIsland Total Drama World Tour]]'' after attempting to stay with the crew after being voted off twice. He slowly starts to go insane -- by the time they get to London he has green skin, blood shot eyes, crooked teeth, and a chunk of his ear missing. By the time they get to Africa his clothes are tattered, he has claws and fangs, nearly all his hair is gone, and he ''acts'' like an animal.
* In ''WesternAnimation/TheSimpsons'' episode "Hurricane Neddy'' [[StepfordSmiler Ned]] [[FreakOut loses it]] and chews out everyone in town after they mess up on the job of building a new house for him. This is showed by his previously smoothed down hair becoming disheveled with a few strands falling out of place. He ends up checking himself into a mental hospital.
* The Ice King in ''WesternAnimation/AdventureTime''. In a series of video logs in "Holly Jolly Secrets", the Ice King was originally a professor of archaeology that suffered a worsening mental breakdown by the ice powers of an arcane crown, paralleled with his increasingly long beard and hair and pale blue skin that would later define the Ice King's physique.
* In a similar vein and presentation as the Ice King, [[spoiler:[=Old Man McGucket=]]] in ''WesternAnimation/GravityFalls'', who, like the Ice King, is revealed [[spoiler:in recorded logs in "Society of the Blind Eye" to have suffered a gradual mental degradation from repeated uses of a memory wiping device he invented, turning from a well-groomed scientist into a disheveled nutcase living in a junkyard]].

[[folder:Real Life]]
* Music/BritneySpears. She publicly [[ImportantHaircut shaved herself bald]], went to rehab several times, tried to beat a car to death with an umbrella and eventually had to be committed for psychiatric evaluation. She's gotten better since then.
* [[Music/PinkFloyd Syd Barrett]] is an earlier example. After he more or less completely succumbed to madness, Syd shaved off his hair, ''including eyebrows''. The Audience MindRape of a shower scene in ''Music/TheWall'' is a reference to this.
* TruthInTelevision. Going insane rarely helps one function, so "simple" tasks like grooming can become near impossible so a resulting change in appearance is expected. Subverted by those who are pathologically inclined to be neat and "clean". They are hindered instead by the need to be presentable, and will likely have a HeroicBSOD if they get dirt on themselves.