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Paranoia is a rune effect in Mass Confusion, a Spirit Realm Witch Doctor skill.

This rune effect functions as a damage buff, causing any enemy in the area of the Mass Confusion to take 20% additional damage for the duration of the effect.

This effect turns the skill into a double bonus, as all the monsters in the area are tagged with the bonus damage, whether they are confused or not. Since Confused enemies are much easier to hit and kill, this is a way for the Witch Doctor to make enemies stand still, not fight back, and take extra damage for a whopping 12 seconds, which is vastly longer than any other stun or confuse effects in the game.

Skill Rune Effects[edit]

Refer to the Mass Confusion rune effects article for a thorough description of the five rune effects in this skill, including screenshots, videos, and strategy tips.

Name Level Description
Mass Confusion

Spirit spell
1 Cooldown: 60 seconds

Incite paranoia in enemies, confusing them and causing some to be Charmed and fight for you for 12 seconds.

1 All enemies in the area of Mass Confusion deal 30% less damage for 12 seconds.


Screenshots and movies will be added post-release.


Prior to the skill revision in February 2012, this rune effect was enabled by the Golden Rune, granting the following effect with a level 7 runestone:



All enemies in the area take 80% additional damage.

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