Insanity - Mental Health Management (Updated)

by TacoBurritoChimichanga·vAlpha·Updated 2025-09-21

Every kill matters, every drug you take matters, everything you do matters. This mod aims to bring a mental health system to Fallout, attempting to simulate mental health issues and punish players for their decisions, introducing a new, difficult mental health management system heavily inspired by FROST Insanity and PTSD.

Screenshots 8 screenshots

About this mod Machine translation

Every kill matters, every drug you take matters, everything you do matters. This mod aims to bring a mental health system to Fallout, attempting to simulate mental health issues and punish players for their decisions, introducing a new, difficult mental health management system heavily inspired by FROST Insanity and PTSD.

Original address:

Prefix:

Ace Male Race (optional, if compatibility patch is to be used):

Optional Ace Male Race compatibility patch updated on September 21st: ESL flag patch. Put it after Insanity.esp and AceMaleRaceNPCS.esp

Re-upload the BA2 version file on September 19th: Re-upload to fix some errors in the last upload.

The BA2 and component format master files have now been uploaded. You can choose one of the two to download and install according to your needs.

----

Overview:

This mod is my attempt to make a health management system that includes things that affect most actions you do, such as killing humans, ghouls, or even children, or taking any type of medicine. This mod inserts a mental state state into the player's body that will decrease every time you do the bad things mentioned above, or increase when you do the opposite. If you go deep into your mental state, very bad things will start to happen. This mod is heavily inspired by FROST, DUST, and the PTSD Mental Health Management System.

Features

Custom Power Armor: Insert three unique pieces of power armor that you can earn within the dungeon.

Legendary Weapons: Add custom legendary weapons

Big Dungeon: 17+ new internal locations added when certain conditions are met

Mental Health System: The main feature of this mod is that it allows you to manage your mental condition through the use of certain foods or the addition of new medicines

New Perks: This mod adds new perks that change the way you play in certain game features

New Enemies: This mod adds a total of 20+ new enemies

Loading Screens: This mod adds 30+ loading screens when certain conditions are met

New Medicines: This mod also adds 9 new medicines, and you can find the recipes to construct them in the game. They mainly focus on treating diseases

New Faction: This mod also adds a new faction full of enemies, everyone doing their job

New World Space: This mod uses a very small space in world space to take advantage of the weather system

New Weather: This new weather can only be found in dungeons, but it's nice to mention it :).

Plan content:

Add a way to trigger certain sounds in a random way when a condition is met

Add more enemies

Polishing the rough edges of the dungeon

Add more dungeons

More underground areas

Give enemies custom sounds (requires VA)

Changing the music of the dungeon

Add certain triggers to certain areas

Add custom textures to some content

How to play this?

To avoid spoilers, all you need to know is that there is a new tab in the Chemistry Workbench called "Mental Health."

You don’t know yet, want a spoiler?

Just ask in the comments section hehe

Tools used:

-GIMP

-Photoshop

-xEdit

-Creation Kit Platform extended

-Audacity

-Nifskope

-Bodyslide Outfit Studio

-Davinci Resolve

  • Tons of tutorials and code examples in UESP

grateful:

Mymom

Mydad

Mybrother

Mycats

Mydog RIP

Install & use Install: follow the bundled instructions

  1. Unzip the archive from playbuff and read the bundled readme / instructions first.
  2. There is no universal mod manager for this game: some mods replace game files directly, some go into a game-specific Mods folder, and some need a game-specific community loader or tool first — follow the bundled readme.
  3. Place the files exactly as the readme says; mods with listed dependencies need those installed too.
  4. Launch the game to confirm it loaded; some games require enabling mods in settings or an in-game mod menu.

Install locations vary a lot between games and mods — the bundled readme is the most reliable guide.

File & checksum

Filename
Insanity BA2-96703-Alpha-1758212947.zip
File size
83.1 MiB