Adding onto this rabbit hole

Truman Show delusion is a real and scary thing

“They have reported that one patient traveled to New York City after 9/11 to make sure that the terrorist attacks were not a plot twist in his personal Truman Show, while another traveled to a Lower Manhattan federal building to seek asylum from his show.”

Human leather gives a debuff if you’re not a cannibal or a psychopath. In Rimworld the same thing applies