Hell is Other People

The GM will collect a statement of what each
character thinks of you. Then he is picks one &
you become obsessed (gain insanity) with how
to get others to think that about you, & you'll
go to any extreme to make that happen. You
even get very paranoid if you become unsure
that's others see you like that, causing Minor
penalties to all rolls until you feel you've fixed
that perception. (GM call)