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Did I ever tell you what the definition of insanity is? Insanity is doing the exact... same f***ing thing... over and over again, expecting... shit to change. That... is crazy; but the first time somebody told me that... I dunno, I thought they were bullshiting me, so boom – I shot him. The thing is, okay... He was right. And then I started seeing: everywhere I looked, everywhere I looked, all these f***ing pricks, everywhere I looked, doing the exact same f***ing thing... over and over and over and over again thinking: "This time, it's gonna be different; no, no, no, no, no, please... This time it's gonna be different." ...I am sorry, I don't like the way you are looking at me... Okay, do you have a f***ing problem in your head? Do you think I am bullshitting you? Do you think I am lying? F*** you, okay?! F***! YOU! It's okay, man. I'm gonna chill, hermano. I'm gonna chill... The thing is... alright, the thing is: I killed you once already... and it's not like I am f***ing crazy. It's okay... It's like water under the bridge. Did I ever tell you the definition... of insanity?
~ Vaas Montenegro giving his famous "definition of insanity" in his monologue to Jason.

Mentally Ill or Deranged villains, are villains who are dangerously ill and have any type of psychological disorder and can be deemed as mentally unstable or villains suffering from mental disorders such as post-traumatic stress disorder (PTSD) or bipolar disorder, among others.

These characters can be tragic, since the trait of being mentally unstable is not being fully aware of their actions or not being in full control of their emotions, thoughts, desires, fantasies and might go as far as to hurt others including themselves. Examples of which include many "Yanderes", such as Kotonoha Katsura, Bae Su-mi, and Anniyan. In addition, many people (both in fiction and real-life) suffer heavily from mental illness and can struggle on a daily basis, so villains who have difficulties with their mental health can often be seen as sympathetic, if not, redeemable. However, there are also many mentally-ill villains that are merely insane, only living to cause whatever brand of chaos their mind craves. Regardless, it is often that these villains are prone to live in fear and tend to distrust others because of delusions of persecution, harm and doom.

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