Understanding Sanity

In Primal Paradox, sanity is constantly draining as you explore each level. There are no stages or symptoms — you either have sanity, or you don’t. Once it hits 0, you go insane, and it's game over.

How Sanity Works

Your sanity starts at 100 and gradually drains over time based on the level you're in. It decreases smoothly — not in chunks — and there are no effects or warnings as it gets lower.

Once your sanity reaches 0, you immediately go insane. There are no in-between stages. No shaking, no hallucinations, no second chances.

Sanity Drain

🕳️ Level-Based Drain

Sanity drains passively depending on the level. Each level has its own drain rate, with some being slow and manageable, and others being extremely harsh. Enemies and events do not affect your sanity — only the environment drains it.

Sanity Recovery

💊 Sanity Pills

The only way to restore sanity is with Sanity Pills. They instantly return your sanity to 100%. No other items, actions, or zones will help you recover. If you don't have one when your sanity hits 0... you're done.