While fishing in Castout Creek, you will occasionally encounter Marie the Mad Patient. She is similar to the opponents you've encountered in Icelantica ([[Flying Penguin]], [[Rabid Raccoon]], [[Polar Bear]]), however requires a Lv 73 (Lv. 75+ recommended) pole to successfully attack him.
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The Marie the Mad Patient is nearby...
Castout Creek is home to the dangerous Marie the Mad Patient...
What do you want to do?
Success has a chance of obtaining an item from the [[Collectables#Mad Patient|Mad Patient Collection]]. Different options drop different items. Choosing the Defend option will get you the later items in the collection so you can trade down to complete the set.
* Stay calm and don't move.
* Take off and run.
* Offer my next few catches. (depends on the Marie the Mad Patient's hunger)
* Attack with your Candy Cane / Medical Mangler Pole! (requires level 53 Candy Cane / Medical Mangler)
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The last option changes depending on which pole ([[Candy Cane]] or [[Medical Mangler]]) you are using, and requires purchasing the fourth add-on for that pole.
Success has a chance of obtaining an item from the [[Collectables#Mad Patient|Mad Patient Collection]]. Different options drop different items.
Her collection set enables access to [[Burnout Bay]] & Sharpening Oil & Acid Eyes