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2. I'm not 100% sure if the meter increases no matter what, but I've kept my insanity even enough to make it past the fifty-minute mark without even getting the film grain or ambient sounds (though the monster did show up in that run, so it seems it can appear even if your insanity remains level).
3. As far as I know, yes. Placement is random, though, and there can be a lot of distance between them (I've had 20-30 mins between exits before).
4. The pie makes the Pie On a Plate "Mmm" sound when you interact with it.
5. Sprinting itself doesn't decrease your insanity meter (at least, it's not listed as an effect on the wiki or official page, and I've never observed that happening while playing). The biggest danger is it messing up your count and making you miss your thirty-second checks, and the second biggest is that if you sprint while the being's in an adjacent room, it will chase you and teleport around you, increasing your chances of running into it and ending your game. That said, some players have sprinted the whole way with no trouble, so I guess it's just down to how you prefer to play. My personal preference is to sprint if I'm going for a fast time but walk if I mean to hang around awhile.
6. That depends. The sobbing, droning, and exploding lights are just an effect of your insanity meter reaching a certain point and pose no danger, but if you're aiming for escape, you'll want to avoid static; that comes from the ceiling spikes, and it does raise your insanity to get too close to them (and I think it might also make it easier for the monster to find you, but I'm not sure on that one), so you don't want to unless you have to. There's also this shrill, harmonized wail that the monster makes you'll want to avoid (or go looking for if you want to see the monster). You can usually tell what direction it's coming from and just go a different way until the static/wailing fades.
7. Mazes, exits, and monster placements are randomly generated and different each time you play.
8. USUALLY, yes. I say "usually" because it is possible to do everything right and still lose if you get bad monster placement (I once had the guy physically block an exit - got it on video, too, it's the one titled "No Escape" - and once made it out but took a major hit to my meter when I reached a bottleneck where the only path that wasn't a dead end was blocked with three sets of ceiling spikes). It's just... really, REALLY unlikely. Most of the time, if I intend to leave alive, I do. That said, I think the monster's scarier and more fun when it gets aggressive, so I'm actually hoping its behavior in the full version leans more towards the "blocking your only path forward" variety, within reason.
9. Yes. How much depends on how good a look you get. See it in the corner, from a distance, you shouldn't lose too much as long as you don't approach any further, but if it's too close and centered in your field of vision, it's an OHK.