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Game reference

Lack of sleep

Lack of sleep: How it is obtained: Staying awake too long — Status; Perks of the same type: Steamed Up — Status effect.

Effect

Starts after 2 in-game days without sleep
Not listed
While it lasts, every point of energy spent adds half a point of insanity, and anything that lowers insanity lowers it by only half as much
Not listed
Sleeping until energy is full ends it and removes 20 insanity
Not listed

How it is obtained

Staying awake too long
Status

Perks of the same type

Steamed Up
Excessive zombies

Lack of sleep

Perks of the same type