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nordlead said:

The game is awesome, but the sanity meeter is flawed in that it was too easy to maintain it.

I've beaten the game without using sanity recovering magic and you almost never run out of sanity. I intentially drop myself to 0, and then play through and on occasion it rises up due to me killing zombies, but then I'll let it drop back down to 0.

Well hitting rock bottom is more of a distraction than anything else. It's the subtler stuff that will really mess with you.