Call of Cthulhu 7th Edition

Sanity Loss & Trauma

Use the loss already resolved at your table to find the next trauma step.

START WITH THE SITUATION

Use the loss your VTT already resolved

SAN reached zero

The investigator leaves player control.

  1. Permanent insanity takes priority over temporary and indefinite outcomes.

  2. Work with the Keeper on the character’s departure.

Check the source rule ↗
Sources & scope

Independent play aids. Calculations use your inputs; specific abilities and the GM’s ruling can change the result. Each tool links to its reference. Rules were checked September 2026.

Reference reading: SRD 5.1 · SRD 5.2.1 · Pathfinder 1e rules · Pathfinder 2e rules · Daggerheart SRD · Call of Cthulhu rules. These are independent resources and are not publisher-endorsed.