Scarpox enters through a sacrament of opening, infesting a wound and ensuring it does not heal, it will not close. Instead, it feasts and it opens. Nothing, on the surface, appears abnormal about the wound; it does not fester and it does not rot. But it grows, and eventually, it spreads. The victim is decorated with scars, slowly dividing and opening themas they deepen and widen. First mere Mere nicksdevelop and grow into deep gouges resisting all healing, then terrible gouging wounds until they succumb, all treatment. The victim is slowly torn and openedinto ribbons from the inside out.

A madness The Finest Madness, of course, touches both the body and the mind. Once infecting its victim, it overcomes them with Fascination. It begins with the occasional, easily-ignored brief flash of light or shape in the distance which in days progresses to delirium and entire new worlds of wonders and light. This madness consuming the mind, however, is merely the prelude. As the insanity rampages through the victim's mind, it begins to run rampant and tear itself outwards. Flesh and bone warp and reshape, new organs and new limbs forming. This plague may not necessarily take a victim's life. But as their body changes into an unrecognizable mass of flesh and their world descends into colours beyond light, they may wish it had.