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The Lunacy Deck can be turned in at Darkmoon Faire to get the Darkmoon Card: Madness. In addition to 51 stamina, this trinket has an effect that whenever you land a killing blow on a target, you randomly get one of the following buffs (in which your class is listed):
Each buff lasts for 60 seconds.
When one of the powers procs, there is a chance your character will say "This is Madness!" This is most likely a reference to the movie 300, and the infamous Sparta quote.
Patches and HotfixesEdit
Patch 2.4.2 (2008-05-13): Effect of Power of Madness increased from 30 seconds to 60 seconds