Trauma and psychosis are some of the most interesting things in Winter Survival. Trauma will affect either your left or right hemisphere in story mode or just the right one in Endless mode. In this case, picking your new disorder is a troubling choice.
Below is a list of every psychosis symptom in Winter Survival that you get to choose from. Note that in Endless mode, Psychosis: Hallucinations is already triggered, and you’ll start the game with 100% trauma, so you’ll be picking one of the others not long after starting the game.
You get to choose whatever symptom you want, but I’d recommend that you unlock them in the following order:
Fear of the Graves is only active at night, and you’ll want to be doing as minimal night-time travel as possible. Also, I’m fairly certain that Psychosis Disorientation only really comes into effect in the story mode, as I really could not tell a difference in my endless mode playtime.
Upon going to bed with 100% Trauma in Winter Survival, the left or right hemisphere of your brain will be damaged. If the left hemisphere is triggered, then one of your adaptations will be marred. If the right hemisphere is triggered, then you get to choose a symptom for your growing insanity.
In Endless mode, only the right hemisphere can be damaged.
Trauma is earned by a number of negative status effects, and critically low base conditions. Being in the dark, around predators, feeling homesick, and so many other triggers will slowly cause your trauma to mount. There is no way to lower or negate your trauma, so at some point, you’ll be suffering with every affliction.
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