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Clinically, paranoia is characterized by highly systematized, persistent, incapacitating delusions of persecution and/or grandeur; commonly used to describe hypervigilence over a (mis)perceived threat, belief that danger is everywhere, and belief that those who do not recognize the threat are evil and part of the threat themselves.
civilized, magical, nomad, good_religious and evil_religious backgrounds
Actual effect:
When other players look at something in the room, it is shown as they would be looking at you. Also non-offencive skills/spells look offensive to you.