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A regular character needs to sleep for an eight-hour period in order to be fully refreshed the next day, unless certain Advantages or Disadvantages are in play on that character. For a normal character, however, every two hours of sleep they do not get in the course of a night leads to one rank of penalties for every roll the following day until the next time they go to sleep. If a character spends 24 hours awake, they begin losing 1 temporary Psyche point every hour they remain awake thereafter. If they lose one tenth of their total Psyche score, they lose a point permanently, and may go crazy (it's up to the GM). 

If their Psyche reaches zero, they go into a coma from which they will only awake when the GM finds it appropriate.

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