N'Zoth selects pairs of players and fills their minds with all-consuming Paranoia for 15 sec. Paranoid players must be within 5 yards of their paired partner or suffer 14 Shadow damage every 1 sec. This damage increases over the duration of Paranoia. Affected players do not trust their allies while paranoid. Coming within 5 yards of an unpaired ally causes the player with Paranoia to be drained of 5 sanity every 1 sec while they remain near their ally.