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Reluctant Psycho

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"What am I doing? Why do I wanna hurt you so bad? I'm supposed to be a friend. I just wanna be a friend..."

The Mad Hatter doesn't suffer from insanity, they enjoy every minute of it. If only the Reluctant Psycho were so well-off. They may or may not understand the details, but they are well aware that something is wrong with their own psychology and they are fighting it to the best of their ability, possibly with the help of medication. Success will vary; perhaps they do manage to present a normal façade, but they are fighting a constant inner battle to maintain it. Or maybe they have found an outlet to channel their issues productively, or, in the most tragic cases, they are constantly fighting a losing battle and may only realise they have given in again once it is too late. Whatever the details, they both know that they are mentally unwell, and desire to cancel or curtail the effects of their illness.

If they are fortunate, they may have the support of a Friend to Psychos. If they are terribly unfortunate, the plot will conspire to make their already-difficult struggle even harder for them; it may even become necessary for them to give in to get out.

This is a very particular Sub-Trope of the Tragic Flaw; examples that are about temptations and tendencies that are not actually insanity go there.

Truth in Television for many people with mental illnesses, by the way. However, despite the scary-sounding trope name, most Real Life people in this situation would not be dangerous to anyone, except maybe themselves, if they lost control of their illness. Being Ax-Crazy is a lot more common in fiction than reality, after all, despite the occasional Real Life urge. There is also the fact that if you are aware enough to be ashamed of it, you are probably doing something (such as psychotherapy or medication) to mediate the symptoms.

Contrast The Mad Hatter, which is about the cartoonish kind of insanity, Gollum Made Me Do It, which is a similar trope in which an evil Split Personality is the specific form of insanity in question, and Fighting from the Inside, in which they are not only trying to keep control but to take it back from someone else.


Examples:

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    Anime & Manga 
  • Digimon: Dark Digivolutions happen mostly involuntarily and causes the Digimon who undergoes it to go berserk and lose control of themselves. In Digimon Adventure, Koromon specifically states that he was unable to stop himself from hurting his friend when he rampaged as SkullGreymon and was fully aware what he was doing at that time. In Digimon Frontier, Takuya evolving into Vritramon for the first time ended in a disaster, as the Beast Spirit's bestial instincts took control of him and made him see everyone as an enemy from his point of view. In Digimon Ghost Game, a Ryudamon digivolves into the malevolent spider mon Gyuukimon and fights a losing battle against its new violent impulses.
  • Ken Hidaka in later parts of Knight Hunters. Once he realizes that he has started to enjoy killing people, he tries to ride it out, but it just gets worse. He ends up going to prison voluntarily, to have "time to think," until he can get his head on straight and go back to killing people responsibly.
  • Monster: Johan Liebert who, despite being committed to carrying out evil acts and appearing to enjoy every moment of his wicked trajectory, seems to find his evil hopelessly banal on some level, to the point that when he re-reads a children's book that disturbingly reminds him of his past, his goals began to markedly shift from world annihilation to self-annihilation. Not that he isn't still an Omnicidal Maniac caught in a hungry ghost cycle, though...
  • Sakamoto Days: Apart is a Serial Killer who cuts people to pieces because he's so insecure about being "normal", he needs to reaffirm how he and others are all the same "on the inside".
  • Soul Eater: Dr. Franken Stein is an unhinged genius with a violent edge to him that loves dissection and even enjoys his own craziness. However, he doesn't want to let it get too far or let himself get too bad, so he basically worships the Shinigami for giving him stability and purpose.
  • Zanuff the Butcher is a Serial Killer who is painfully aware that he's a monster but is unable to stop his murderous impulse from surging forth. The best he can do is to struggle and curb it on a daily basis. The main conflict of the story is his bonding with a little girl, Alice, while desperately trying to fight off his urge to make her his next victim.

    Comic Books 
  • Azula, fresh out of the asylum in Avatar: The Last Airbender - The Search is aware that she has lost control of her mind, and she is not happy about it. Her goal is to silence the voice in her head that is causing her so much pain and doubt, but the only way she thinks that will happen is to kill her mother, which Zuko will not let happen for very obvious reasons.
  • Batman:
    • Batman himself, and other members of the Bat-family, are sometimes implied to worry about their own mental health. In an issue of Robin (1993), the titular boy wonder says that he is afraid that Batman might be going crazy. His girlfriend, also a masked vigilante, just laughs and says, "Well, look at us."
    • Harvey Dent is one of the only inmates in Arkham who is actually trying to rehabilitate himself, rather than treating Arkham as a second home. Unfortunately, Two-Face is not open to rehabilitation since he knows it will "kill" him. Harvey's efforts always end in failure and tears.
    • Likewise, the common modern portrayal of the Mad Hatter is as a legitimately insane man who really doesn't want to kidnap, entrance or murder, but who is assaulted by irresistible compulsions and delusions that break his sense of reality and always ultimately control him no matter how hard he fights.
    • The Joker revels in his madness most of the time, but since one symptom of his insanity is his shifting characterization, this isn't always the case. At the end of The Killing Joke, he almost considers Batman's offer to rehabilitate him before regretfully saying that it is too late for him to try. In Emperor Joker, he decides to use his new cosmic powers to destroy the universe, because any universe that would allow someone like him to exist must be fundamentally broken.
    • In Batman: Gotham Adventures #11, the Riddler tries to circumvent his obsession with leaving clues that lead Batman right to him by instead leaving clues that lead to other criminals. This works out fine until Batman pieces together hidden riddles in each of the clues that lead him to the Riddler anyway. When the Riddler realizes that he has done this, he is heartbroken.
      Riddler: You don't understand. .. I really didn't want to leave you any clues. I really planned never to go back to Arkham Asylum. But I left you a clue anyway. So I... I have to go back there. Because I might need help. I... I might actually be crazy.
  • The Boys: The Homelander, to paraphrase Billy, became a psychopath by accident. He's repeatedly seen committing disgusting atrocities (like eating babies) and others happen offscreen (like raping Billy's wife), and visual evidence of his indulging himself as well. Many of them are actually committed by his clone, including the rape, who deliberately records himself and sends the pictures to the Homelander to gaslight him into thinking he really is insane and can't remember it. This leads the Homelander to embrace evil and outright rebellion, giving Vought-American no choice but to unleash their contingency plan in case he got out of control: Black Noir. How do they know he can do it? Because Black Noir is Homelander's clone, and in fact set the whole thing up because his sole purpose in life was to take out the Homelander, which wasn't an option as long as he was content with low-level hedonism.
  • Captain America: Jack Monroe, the man who became The '50s Bucky, started to go insane during the last year of his life, as the supersoldier serum in him started to deteriorate. He was well aware that his mind was falling apart, and considered his last bouts as a superhero his way of staying sane. With the twist that they were not, because he had already become delusional. He was beating up random civilians, thinking that they were gangsters and drug dealers.
  • Superboy-Prime was like this at the beginning of Infinite Crisis, being horrified at how he inadvertently dismembered many of the superheroes trying to fight him, but after his time trapped in the Speedforce he fully crossed the moral event horizon.

    Fan Works 

    Films — Live Action 
  • 12 Monkeys: Cole's generally relatively calm, if confused, but he has some violent outbursts that suggest that he might be a prisoner for good reason.
  • John Nash is in this position in A Beautiful Mind, once he figures out that he actually is schizophrenic. By the end of the film he's able to manage his condition with medication and by constantly checking to make sure other people can see new people he meets.
  • In The Dead Center, this is what psychiatrist Dr. Forrester thinks is going on with the mysterious John Doe who's been brought into the psych ward. John Doe is being driven insane and taken over via Demonic Possession.
  • Grosse Pointe Blank:
    Dr. Oatman: You didn't tell me what you did for a living for four sessions. Then you told me. And I said, "I don't want to work with you anymore." And yet, you come back each week at the same time. That's a difficulty for me. On top of that, if you've committed a crime or you're thinking about committing a crime, I have to tell the authorities.
    Martin: I know the law, okay? But I don't want to be withholding; I'm very serious about this process. [Beat] And I know where you live.
  • In The Guilty, Iben unwittingly kills her infant son Oliver during a psychotic episode under the belief that she's letting snakes out of his abdomen. However, she displays no aggressive tendencies and is horrified when she realizes what she has done.
  • In M, the eponymous murderer of children insists that he is this. He uses this to contrast himself against the mob after him. While he may be a child-murderer, he has no control over it and didn't choose it; the criminals who are after him though chose to be criminals.
    Hans: But I, I can't help myself! I have no control over this! This evil thing inside me, the fire, the voices, the torment!... It's there all the time, driving me out to wander the streets, following me, silently, but I can feel it there. It's me, pursuing myself. I want to escape, to escape from myself. But it's impossible. I can't escape. I have to obey it. I have to run endless streets. I want to escape, to get away. And I'm pursued by ghosts. Ghosts of mothers. And of those children. They never leave me. They are there, always there. Always, except when I do it. When I... Then I can't remember anything.
  • Francis Dollarhyde in Manhunter struggles with his murderous impulses, trying (and failing) to live an emotionally normal life through his brief relationship with Reba.
  • The Man from Colorado: At least initially, Owen knows that what he is doing wrong but cannot stop himself. Following the massacre, he writes in his diary that he just killed 100 men and that he did not want to do it but could not stop himself.
  • In the Psycho series, Norman Bates really doesn't enjoy being crazy and rightly considers it a mental sickness. He is terrified when he thinks he's relapsing in Psycho II since he's unaware that he's the target of a gaslighting campaign.
  • Eddie Miller in The Sniper knows that what he is doing is wrong but cannot stop himself. The night before he commits his first murder, he deliberately burns his hand on a hotplate in an attempt to have himself committed to a psych ward. This almost succeeds, but a wave of patients from a major accident causes the doctor to forget about Eddie. After his murder, Eddie sends an anonymous note to the police begging them to catch him before he kills again.
  • In Spider-Man: No Way Home, Norman Osborn was shown to have come to feel this way about his darker half, the Green Goblin. In his home universe, he was more open to the Goblin's influence, attributing many of the acts he had committed then to him. Here, however, he wants nothing to do with the Goblin, smashing his mask in an alleyway, and, upon being cured of him, all Osborn could do is sit and reflect with horror over what he had been forced to do by the Goblin.
  • Suicide Squad (2016) has a "Leave Your Quest" Test that the Enchantress uses against the titular squad, inducing a fantasy sequence of them achieving their heart's desire should they side with her. Harley Quinn's dream is to live a normal life with the Joker, where neither is violent or psychotic and lead a mundane family life with 2 children in the suburbs. Harley saves the world and the squad by realizing it is very much a Tragic Dream and that Enchantress was in no position to grant it, even with her godlike powers. By the time of the sequel, she takes the concrete step of realizing she's less healthy remaining in the toxic relationship she had been with the Joker.
  • Talk Radio: One of Barry's callers, John, is a serial rapist deeply tormented by his urges to rape women and his inability to resist them.
  • At one point in Targets, murderer-to-be Bobby Thompson fumblingly tries to alert his wife that something is going horribly wrong with his brain, but she brushes off the discussion and goes to sleep.
  • Backstory for Thir13en Ghosts reveals this was the case for the Jackal. He was a serial killer and rapist who targeted stray women and prostitutes, but he was also aware that what he was doing was wrong. Eventually he committed himself to an asylum in hopes of correcting his insanity, but this proved impossible. When the asylum caught fire, the Jackal chose to remain in his cell and burn to death rather than return to his old ways.

    Literature 
  • 2666: Amalfitano knows he's going crazy and occasionally mentions the possibility of being committed to an asylum.
  • Patrick Bateman in American Psycho fantasizes about killing people and often takes drugs to suppress his urges. However he gets worse, and finds himself killing people regularly just for the thrill of it. He mentions this to other people as a cry for help, but they don't even notice it. Because of this, it can be interpreted that nobody seems to mind (after all, Patrick is part of a rich social class who could buy themselves out of prison), that no one is actually listening to anything he says (the novel is a parody of the The '80s yuppie culture) or that he is deluded and he has either never killed anyone or mentioned it to anyone.
  • Rachel from Animorphs. While she starts out as simply a bold, enthusiastic fighter, she slowly comes to realize that her enjoyment of combat and carnage is getting out of hand. It's made worse by the fact that her friends have come to rely on her to do the dirty work. In her final book before the finale, she admits that they need her to be the bad guy, and she needs them to be the good guys, because if they're not the good guys, and she's doing all this brutal killing, well...
  • The titular character of Blaze suffers from hallucinations of his deceased partner George Rackley who constantly encourages Blaze's worst impulses, even when Blaze himself is horrified by what George is suggesting. Blaze generally goes along with whatever George tells him, but flat-out refuses at certain points, most notably when George tries to talk him into killing a baby.
  • Deanna Madden, the title character of The Girl in 6E, wishes she did not have almost constant homicidal fantasies and ideation. But she does, and she has had enough close calls that she finally gave up and locked herself in apartment 6E, which she has not left in three years.
  • Go to Sleep (A Jeff the Killer Rewrite): Implied, Jeff is in tears as he's about to kill Liu, saying he doesn't want to kill him yet feels he has no choice. He urges Liu not to struggle since he's trying to make it painless, wishing for him to be in a better place with their parents, who he also just murdered.
  • John Wayne Cleaver in I Am Not a Serial Killer is not, but he is acutely aware of how likely he is to become one. He is not technically a sociopath, but only because until he turns 18 the relevant diagnosis is Conduct Disorder. He has a strict list of rules to adhere to keep himself functional, barely managing to pass himself off as normal most of the time... and then events conspire to give him every good reason to start breaking his rules to protect himself and his family.
  • Zane, in the Mistborn trilogy, is fully aware that he is insane (he understands that hearing the voice of "God" which tells you to kill everyone you meet, obviously isn't normal), but he feels that it isn't an excuse for irrational behaviour and that it is merely a flaw he must overcome. In the end, it turns out that while Zane is an unstable psychopath, the voice he was hearing in his head was quite real- it was the series' Big Bad, and while it wasn't quite God, it was the next step down. So even though he was crazy, he wasn't as crazy as he thought he was, if that makes sense.
  • Francis Dolarhyde in Red Dragon tries and fails to conquer his perverted and murderous impulses. In one scene, he even destroys (and eats) William Blake's Red Dragon and the Woman Clothed By the Sun painting with the hope that this will destroy the personification of his evil impulses.
  • A Song of Ice and Fire: Serial pedophile-murderer Septon Utt is always remorseful after his crimes, though he's unable to stop himself from doing it again.
  • In The Stormlight Archive:
    • Nan Balat tortures insects and small animals to relax. He maintains the habit because he is afraid that if he stops, he will start torturing people instead of animals.
    • Szeth is very well aware that sanity is slipping away from him, and doesn't like this one bit, but he feels like going with the flow is the only option left to him.
    • Nale suffers from a particularly homicidal form of Black-and-White Insanity; he's almost incapable of feeling emotions, and prevents himself from being a threat to others by rigidly following the laws of wherever he happens to be. While he acknowledges that he's insane, he doesn't always seem to care; upon realizing he no longer feels guilt, he actually seems somewhat pleased. When Lift manages to bring him to lucidity for a while, he sadly acknowledges that he's getting worse, and is no longer even capable of feeling what he calls "useful emotions."
  • Although Dickarus McChink, protagonist of Tales of the Space South, begins the story going on nightly rape/murder sprees, he is victim to the endogenous drugs that force him to go on psychotic rampages.
  • Worm has Regent, resident Token Evil Teammate of the Undersiders due to his high-functioning sociopathy...and doesn't actually like it all, since said sociopathy was a defense mechanism against Heartbreaker's Mind Rape Emotion Bomb powers. He really does want to experience unselfish love and a full emotional spectrum, but he himself admits he's so dead inside he can't even work up enough emotion to be truly upset by the way he acts.

    Live-Action TV 
  • Criminal Minds:
    • The UnSub in "With Friends Like These..." is said to be suffering from paranoid schizophrenia and insomnia. Once his medications stop working, his hallucinations taunt him into murder since the only way he can sleep is after the adrenaline rush from the kills. Throughout the episode, he begs his "friends" to just go away because he doesn't want to kill and just wants to sleep.
    • In another episode, Reid meets a young man struggling with violent urges that he's so far managed to resist. At the end of the episode, he's alone in a room with a prostitute and a knife, but instead of attacking her, he tries to kill himself.
  • Dexter is an excellent example of the Reluctant Psycho who uses a productive or at least acceptable outlet to relieve his issues — through vigilante justice, in his case.
  • Amos Burton from The Expanse. He's a sociopath, but relies on Naomi and other trusted friends so that he'll remain mostly moral. He also seems to hate what he is to an extent; when interrogating a man who had his sense of empathy surgically erased, Amos asks if there's a process that can do the opposite - and is visibly disappointed that there isn't.
  • Firefly: River Tam initially appears to be simply insane, but as the series progresses it becomes clearer and clearer that she can understand what's happening and recognizes how very screwed up she's become. Joss Whedon pulls no punches in showing just how much this hurts her.
  • Through the entire first season of Heroes, this is the struggle for Nikki Sanders.
  • Hill Street Blues: One episode had a plotline about a murder at a homeless shelter, where the only witness was a man who turned out to have Multiple Personality Disorder... and eventually, he put the pieces together and realised that one of his personalities was the killer, and ended up taking a dive off an apartment building to make sure it could never happen again.
  • The main suspect/witness in the Lie to Me episode "The Core of It" is a young woman suffering from Dissociative Personality Disorder. When they get around to talking to the original personality, she's a wreck because she has no control over the other personalities (a law student and a prostitute). She is trying to fight it, just failing.
  • A sort of odd example in Druitt from Sanctuary (2007). He's an abnormal whose power is to teleport, but each time he teleports he becomes susceptible to an energy being who eventually takes up residence in him. This drives him to becoming Jack the Ripper, but once he's not a villain in the series he's struggling to make sure he doesn't go mad again and takes medication to make sure. It's not a possession — the presence of the being just makes him mentally unbalanced in the form of bloodlust and rage, not actually forces him to do anything.
  • Sherlock: Holmes is typically perfectly willing to embrace his sociopathic tendencies, but occasionally shows hints of inner turmoil over whether they are actually more of a strength or a weakness. (John is helping him deal with the aspects that cause him problems; Mycroft is not nearly so conflicted.) In "The Reichenbach Fall", he consciously becomes a full Reluctant Psycho after the police department's perception of him, heavy on the 'psycho' and light on the 'reluctant', goes wrong in the worst possible way.
    Sherlock: Look at them. They all care so much. Do you ever wonder if there's something wrong with us?
    Mycroft: All lives end. All hearts are broken. Caring is not an advantage, Sherlock.

    Multiple Media 
  • Fate Series:
    • Kirei Kotomine of Fate/stay night is an especially interesting example, in that he acknowledged intellectually that his particular brand of sociopathy (only taking joy in other people's suffering) was both harmful and immoral—without being told, and without anyone noticing. He then spent twenty years trying to correct himself, establishing himself as a heroic figure within his organization, without anyone ever suspecting his true nature. He only gave up trying after his wife, whom he had married as a last-ditch effort to teach himself to love others, committed suicide in front of him in order to prove that Kotomine COULD care about others. Unfortunately, Kotomine instead realized that his only emotion afterwards was regretting that he didn't kill her himself. His later philosophical defense of Angra Mainyu is simultaneously an overt attempt to justify his own existence. There is also his interest in Shirou Emiya, the adopted son of his enemy from the 4th Grail War, Kiritsugu Emiya. Shirou, unlike Kiritsugu (who was Kotomine's Foil in every respect), isn't so different from Kotomine.
    • In Fate/Grand Order, the Saber version of Gilles de Rais does have Madness Enhancement EX, but is clearly using his emotional dependency on Jeanne d'Arc (and at higher bond levels, on the Master) to repress it. His Bond 5 line is to beg that you mercy-kill him with your Command Seals if he becomes what he's most famous for.
      Gilles de Rais: [upon third Ascension] Jeanne, forgive me! I truly hate... everything! And everyone!
    • Brynhildr from Fate/Prototype doesn't want to be a Yandere, but she was cursed by Odin to easily fall in love, while also being cursed with the fate of always killing the target of her affection. The more she loves someone, the more her urge to kill them increases. In Grand Order, it's an outright game mechanic; there are Servants with the trait Brynhildr's Beloved, those with the qualifications to be Brynhildr's ideal lover, and they take extra damage from her Noble Phantasm, a spear that grows bigger and heavier against those she loves. The only silver lining is that her actual lover is pretty much too hard for her to kill when she meets him again.

    Music 
  • Dark Angel's "The Death of Innocence" is about a self-loathing pedophile who knows that he is a menace who destroys lives. He desperately begs for someone to kill him, before he re-offends.
  • Dismember's song "Bleed For Me" describes a psycho putting someone through Cold-Blooded Torture. The very last lyric is a plea of "please make me stop".
  • Skillet's Monster. According to frontman John Cooper:
    In a theological sense, the song is about original sin. You are born into the human race, you're guilty or sinful, no matter what you hope to be. 'Monster' is about the fact that there is somebody we know we don't want to be. Some people call it the old man or the old self. That guy wants to creep out when you're driving and somebody cuts you off. You wonder as a Christian, how do I keep it at bay? I liken it to the idea of a '50s horror film of this beast inside you coming alive.
  • Three Days Grace has the song Animal I Have Become, from the Reluctant Psycho's perspective.
  • Eminem:
    • Eminem's Slim Shady character is a paranoid, anxious, angry and violent lunatic, too dispossessed and disaffected to live in normal society and constantly seeking relief through doctors, self-medication, therapy, art and even prayer. However, it's Played for Laughs almost entirely, because Slim is a Heroic Comedic Sociopath Escapist Character representing knowing your failings and owning them.
    • Due to the lines between Eminem's characters and himself being blurry, this also applies to Eminem, who writes frankly in his songs about his own experiences of mental illness and neurodivergence. A common conceit of his writing is that the horrible shock content and beef in his lyrics is because he's tormented by awful thoughts that compel him to put them in rhyme, and he can't help it. (Like with Shady above, this is also Played for Laughs a lot of the time — a common joke template is for Shady to say something awful, then the Eminem persona will interject to apologise for writing it.)

    Professional Wrestling 
  • Sami Callihan during the later stages of his EVOLVE career, though it started when he was suspended for attacking ElGenerico. He was still obsessive and Ax-Crazy but was trying to settle down and focus on wrestling.

    Tabletop Games 
  • Members of the Wayward creed in Hunter: The Reckoning have a vision for the world's supernaturals: their complete destruction by any means necessary, no matter who gets in the Waywards' way. Whatever creates Waywards rewrites their minds, makes it so that they see planning and committing mass murder and destruction as the best way of dealing with supernaturals — but while most Waywards accept this, not all do. Some struggle with their newfound genocidal urges, try to restrain themselves for a while, lead normal lives, but the urges never go away, not permanently.

    Video Games 
  • American McGee's Alice, especially in Madness Returns when she's consciously aware that she's been in an insane asylum.
  • Subject 16/Clay Kaczmarek from the Assassin's Creed series is fully aware of the fact that his psyche is irreparably shattered, but desperately fights through it to get his message across to Desmond.
  • Baldur's Gate:
    • Subverted with Imoen, once she's revealed as a Bhaalspawn and has her soul stolen in close succession in Baldur's Gate II. She loves hinting at the Dark Whispers of the Bhaalspawn Blood before revealing that she was kidding and her Sinister Temptation was stealing a bag of cookies or something. It is in part an act, and she isn't doing amazingly, but she seems to have it pretty under control despite everything she's been through.
    • The entire point of a heroic Dark Urge playthrough in Baldur's Gate III is that you are frantically trying to resist the urge to kill and maim that wells up in you thanks to your unique creation from Bhaal's own blood and flesh. How successful you are...well, that depends on your playthrough, and possibly some important dice rolls. At least one innocent will die by your hand, though.
  • Batman: Arkham Series: The Mad Hatter. Ironic, since The Mad Hatter is characterized by enjoying his own madness. However, he doesn't respond poorly to being called mad.
    Tetch: As a hat. Yes, as a hat.
  • Borderlands:
    • Borderlands 2 has Krieg, one of the DLC player characters. His background is left intentionally vague, and the only real fleshing out he gets in a promotional video that shows how he met Maya, as he fights a losing battle with his own psyche to avoid killing an innocent person. While most of his spoken lines are incoherent word salads screamed at the top of his lungs, occasionally you can hear a much calmer voice that says things like "That's right, help 'em. Just like old times," when reviving a teammate in co-op.
    • The "Fantastic Fustercluck" DLC of Borderlands 3 expands on this. Krieg's sane side and mad side are sick of each other, and Sane Krieg even hopes there's a way for him to escape to a separate body so he can finally know peace. However, events of the story show that even his mad side isn't actually evil, and cares about him, and the two halves eventually accept that they need each other.
  • The player character of Cube Escape: Seasons is clearly aware that they're dangerously mentally ill. They take Prozac daily, went to Rusty Lake because it was advertised as a place for patients, and one of the notes they leave on their bulletin board is "I'm afraid I will do something terrible." Additionally, when it looks like they really did do something terrible (murdering a woman who turns out to be themselves — it's that kind of game), they seek to change the past to prevent this from happening. They also double as a Tragic Monster after you learn in The Mill how they came to be what they are.
  • Dragon Age II: Kelder Vanard knows it's horrible to kill elven children because they're "too perfect", but he can't stop the "demons" note  from making him do it. His greatest wish is for someone to stop him, but his father covers up his serial killing out of misguided parental feelings, a desire to cover up scandals or both. And since the medieval fantasy world of Thedas has no way to diagnose or treat schizophrenia, the only reasonable recourse is for Hawke to Mercy Kill him with his own blessing.
  • Muggy from Fallout: New Vegas is a miniature Securitron designed to be crazily obsessed with coffee mugs, all part of his creator Dr. 0's mocking jealousy towards robotics baron Mr. House. The worst part is that Muggy is aware of all this, and bitterly hates his creator for it even as he compulsively stockpiles coffee mugs.
    Muggy: Of course I'm obsessed, they made me this way. You think I don't KNOW how crazy I sound!? Of course I do! THEY PROGRAMMED ME TO KNOW THAT TOO!
  • God of War (PS4): After the events of God of War III, a Reformed, but Not Tamed Kratos prefers to give stern warnings to any threats to him and Atreus. He'll only be violent when he needs to protect his son or himself. But when he gets violent, he gets very violent indeed.
  • Hotline Miami and its sequel, Hotline Miami 2: Wrong Number, have Jacket and Richter, respectively.
    • Although Jacket is extremely violent and brutal towards the enemies that he encounters, he does have several moments of apparent lucidity which clearly show that he doesn't enjoy committing these horrific acts as much as it seems. The most notable instance of this is at the end of the first mission, where he rips his mask off his face and pukes his guts out after murdering a random homeless man who caught him disposing of evidence.
    • The second game shows that the only reason that Richter attacked The Mafiya and became a hitman for 50 Blessings was because the latter were using his sickly mother as a bargaining chip for his services.
  • Kuon Ichinose, the creator of EMMA and Sophia in Persona 5 Strikers, is a near-Empty Shell, who refers to herself as an "emotionless doll", and almost completely lacks the ability to express emotions or genuinely connect to people. Reminding her of this or asking her about the human heart (which she claims she doesn't really have) is one of the only things that is guaranteed to get an emotional reaction — specifically, it makes her upset and angry she can't feel emotions normally.
  • Undertale: Flowey's monologue in the No Mercy run brings up that he's genuinely upset over his inability to feel love and compassion along with the ensuing insanity, but doesn't think about a better life than toying with the people of the Underground along with his new human "playmate".
  • World of Horror: One of the unlockable characters is Mimi, a medical student with a Mad Scientist streak; she has lower maximum Reason thanks to starting with the unique affliction "Mimi's Obsession", several of her personal events show she's obsessed with studying the horrifying goings-on in Shiokawa, and her Challenge path, "Mimi's Little Project", involves performing bizarre medical procedures on herself. She also shows signs of struggling against her obsessions and darker impulses.

    Visual Novels 
  • In Doki Doki Literature Club!, in the second act, Yuri starts acting increasingly disturbingly thanks to someone tampering with her mind from the outside, reacting to the Player Character with rather excessive excitement and feeling urges to do some things of a sort you wouldn't tell others about, except eventually she starts doing that too. She will repeatedly catch herself at it, however, and be as disturbed as anyone. This is especially painful next to her normal personality, which is reserved, intellectual, and trying hard to be dignified although often clumsy and anxious.
  • Euphoria: Keisuke has extremely warped and unhealthy views when it comes to sex — and he's completely aware that these views are unhealthy and would've tried to keep them secret to the grave. Unfortunately, he ends up in the middle of a Deadly Game that requires him to subject at least one person around him to unspeakable abuse in order for everyone to survive. Things may get better, or much worse.
  • The Beast/The Swordsman/Yukimasa from The House in Fata Morgana is extremely violent and cruel but is brought back to sanity by The White Haired Girl and tries to restrain his violent urges while with her.
  • Mystic Messenger: Before Rika completely spiraled into delusional disorder, she told V that she felt herself growing more and more mentally unstable; anxiety, depression, paranoia, panic attacks, and suicidal thoughts plagued her every day, and she feared that she would soon completely lose touch with reality and become someone else. V insisted that his love was all she needed and that her fear and self-loathing was beautiful, choosing to not tell anyone in the RFA that she was struggling and later accepting her refusal to keep going to therapy. Meanwhile, her best friend Mika encouraged her impulses and used them to groom her into becoming the leader of Mint Eye. When you get to actually interact with her personally during Another Story, even while she's in the throes of her messiah delusion, she acknowledges that she's suffering, and it makes the instances when she snaps out of it and realizes what's going on even harder to watch.
  • Shiki of Tsukihime. The story starts with him expertly murdering a woman he happens to meet; overcome by guilt, he either goes into denial or attempts suicide. She doesn't stay dead, but Shiki's attempts to understand and control his problem in the face of supernatural evil make up a large part of the story.

    Webcomics 
  • Freefall: Dr. Bowman is not best pleased that he was created to be a weapon, by people who left a lot of the nastiest instincts of a furious chimp in place, or even exaggerated them; he can't handle crowds (he barely has the energy to handle one person for more than a few minutes), he Hates Being Touched, he has anger issues that would make Norse berserkers take a breath and step back, he has serious trouble with concepts such as asking permission, he instinctively treats eye contact from a human as a threat, and so on. His entire life could be described as a sequence of attempts to 1) control his own issues, 2) develop ways to work around them, and 3) ensure that the next generation of artificial intelligences, both robotic and biological, do not have to deal with the same shit he did from their brains. As a result, he does things like issue other people with activators for his shock collar so that if he goes within five feet, he gets shocked into unconsciousness.
    At some point, I'm going to throw the datapad. I don't have control over this. If my arm goes back, get out of the way.
  • In Gifts of Wandering Ice, it takes a sociopathic personality type to control the psi-profiles (which were originally developed as Brain Uploading meets Grand Theft Me, and so carry all high-security passwords and such necessary to keep the place running). As such, the leadership of the tribes are all descended from specially engineered sociopathic soldiers, and given extensive therapy/training to develop their cognitive empathy to the point that they can be regular members of society despite lacking affective empathy.
  • Julian in The Guide to a Healthy Relationship suffers from hallucinations and paranoia, among other things, but constantly keeps themselves in check, reminding themselves that nobody's pursuing them, that there are no bugs crawling under their skin, and snarking wryly at their hallucinations when they tell Julian that they're worthless and should just go kill themselves.
  • Calvin McMurray of Lackadaisy is normally quiet, shy, and subdued to the extreme, but when faced with the threat of or the opportunity for violence goes utterly Axe-Crazy and Laughing Mad. He was thrown out of the police academy for being too "enthusiastic" during firearms training, and is very depressed about failing to achieve his dream of becoming an officer... His cousin Rocky, wanting to help him recover and find work, drags him into being a bodyguard/enforcer for the Lackadaisy speakeasy and doesn't quite understand why Calvin gets so distraught after a job well done.
  • A Miracle of Science — A known issue for those recovering from Science-Related Memetic Disorder.
    Djaya Sumatera: When you're a recovering mad scientist, you're always afraid you'll lose control and wake up some morning with a half-built time machine in the living room and a plan to go back in time to pants Hitler.
  • Jack Delitt from Newheimburg has a major problem controlling his paranoia.
  • Vriska Serket, to oversimplify grossly, cycles between 'I know exactly what I'm doing, and anyone who 8urns themselves on all the irons I've got in the fire totally deserved it 8ecause I'm JUST TH8 AWESOME!!!!!!!!' and 'I'm a horri8le person, what the hell is wrong with me, why doesn't everyone h8 me????????' which then tends to lead back into the former by way of 'You SHOULD h8 me! I'll MAKE SURE that you h8 me!'. She starts out in a fairly low-key phase two, but the phases intensify and she spends increasingly more time in the first category as the series progresses since SGRUB is tailored to feeding her megalomania.
  • Belkar from The Order of the Stick doesn't seem like one of these for most of the story. But here, he freely admits that his kill-happy tendencies nearly screwed him over badly since he didn't have Roy to keep him on a leash at the time. His last line in this strip hints that he is starting to hate what he is. The line itself isn't that different from things he's said before, but previously he would look smugly satisfied about it. Belkar always realized he's a bad person, but this is the first time he seems to wish he wasn't.
    Belkar: Isn't that why you losers keep me around? Hurting people is the only thing I'm good at.
  • Springtrap and Deliah: It becomes clear throughout the story that Springtrap just wants to be the cute bunny Deliah sees him as, but his more psychopathic and clingy tendencies make it hard for him to even keep that up. A core conflict is Springtrap's fear of losing Deliah as a result of his condition and past, in some form or another. This fear is realized in both endings.

    Web Originals 
  • Channel Awesome:
    • The Nostalgia Critic. He regrets his psychotic episodes, doesn't want them to happen and tries to tell people that he's down to earth and logical instead.
    • Inverted with that Guy with the Glasses; he's creepy, undeniably psychotic, perverted, obsessed with human sacrifices (and onions)... Then, in one episode, his medicine wears off. Turns out in his lucid moments, he's actually completely aware that he's being drugged into being so awful, and now's his chance to escape and — nope, gets drugged again and it's business as usual.
  • The AI protagonist of The Last Angel is a weird hybrid of this and The Mad Hatter. Nemesis is fully aware she isn't mentally stable, but she only cares because it interferes with her ability to perform her self-appointed mission: revenge on the alien empire that enslaved humanity despite her best efforts. She absolutely loves playing up her madness to terrorize her enemies and exploit their fear of AI.

    Western Animation 
  • Adventure Time:
    • Ice King (AKA Simon Petrikov) knows that something is wrong with him, but doesn't know what. His last video log before being driven completely insane has him hoping that one day he might find his way back to sanity. In later episodes, it is mentioned that he knew that he wanted to stop using the crown because he knew what it was doing to him, but he needed its power to be able to save Marceline.
    • When Lemongrab's not busy being an ass, he is a very sad man who is confused as to why he doesn't understand people, and why other people don't understand him. He is a failed experiment and is all too aware of his abnormality.
  • Courage the Cowardly Dog gives us "Freaky" Fred, Muriel's barber nephew with a borderline-fetishistic obsession with shaving people bald. The narration of the episode is provided by Fred himself, and we see, outside of his compulsion, he's an eccentric, but harmless and even fairly friendly young man. He knows that what he does is "naughty" of him and that it ruins his relationships and his career, but he simply cannot stop himself.
  • Implied with T.K.O. in OK K.O.! Let's Be Heroes during "TKO Rules!" when we see a Blink-and-You-Miss-It still featuring a drawing by T.K.O. It's understandable considering he's the physical manifestation of K.O.'s rage and self-doubt, while K.O. himself is an extremely kindhearted individual who would despise doing anything T.K.O. does.
  • Leatherhead in Teenage Mutant Ninja Turtles (2012) is a violent, bitter, antisocial mutant with a Hair-Trigger Temper, and he's fully aware of this and is NOT happy about it. This is primarily why he keeps his distance from anyone and everyone for their own safety. Because the Kraang experimented on him for so long he cannot keep his rage in check, especially if they're mentioned within earshot of him.


 
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Krieg

Krieg, the Psycho, is a Vault Hunter who suffered horrifying experimentation at the hands of Hyperion Corporation. And while the process made him much stronger, it also drove him to insanity not unlike many other psychos in Pandora, with only a fragment of his former, saner self now acting as a conscience to him. With that said, Krieg's inner self is well aware of everything he does, and is nearly unable to do anything about it.

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