Book includes: a look at insanity and its use as a Storytelling tool for horror games., as well as comprehensive rules for gaining and curing derangements and systems for the treatment of madness; a history of institutions and asylums and useful advice for players and Storytellers in using these locations as backgrounds or as the setting for an entire chronicle; a fully detailed insane asylum, Bishopsgate, ready to be placed anywhere in a World of Darness chronicle.