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I am on day 18 and yet to have any sanity problems. if you play slow its not a problem.
Well at least for me.
There are +/- effects to sanity. stand by a warm fire at night, thats +3 sanity. eat a larva, that's -5 sanity. eat cooked food (wild animal) it's + sanity points, eat cooked people. . . thats -35.
I agree, as I said, I think most that are having problems with it are from them just being in to much of a hurry, or eating things they are not supposed to and get slapped with the sanity penalty.
Since the patch today, its easier to see whats driving your insanity down. Small txt pops up letting you know you have leeches etc..