I think they’re talking about “justified” madness. Realistic madness is just seeing things that aren’t there, or reacting extremely to mundane stimuli, but if you had somehow been given comprehension of some higher truth about the world that nobody else would ever believe, the actions you take as a result of that knowledge might seem crazy to those around you, even if they’re perfectly logical from your enlightened perspective.

I’ve seen this image floating around for a while, which breaks down the reasoning - or lack thereof in certain media - pretty well.

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Eh, I can understand your outlook when it’s something done specifically to post it to the internet, like when people film themselves giving money to the homeless, but the guy pretty clearly looks happy to have his pistachios; I’d imagine the story is real, and this guy just wanted to share it, even if there was a less altruistic undertone of getting positive attention online.

And at the end of the day, there’s a net good to doing things like giving people gifts and giving homeless people some money to help them out, even if done entirely for the sake of internet popularity. I like to focus more on whether the person being helped is thankful for it, and if they are, I just focus on that rather than the guy trying to make himself look good for doing it.

My groups usually think of them as a powerful fey creature who sometimes just whisks people away for an indeterminate amount of time, only to bring them back later.