Mad Patient

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Castout Creek is home to the dangerous Marie the Mad Patient...


Marie the Mad Patient sporadically visits wranglers fishing in Castout Creek.
When making a cast and he approaches, you will see the following message:

"Marie the Mad Patient is nearby... Castout Creek is home to the dangerous Marie the Mad Patient..."

"What do you want to do?"

You are given 4 options:
# Stay calm and don't move.
# Take off and run.
# Offer it my next few catches. (depends on Mad Patients's hunger)
# Defend with your Candy Cane / Medical Mangler Pole! (requires level 53 pole) (This works best with a Level 55+ Pole)

The last option changes depending on which pole (Candy Cane or Medical Mangler) you are currently using, and requires purchasing the fourth add-on for that pole.

Outcomes

Wranglers can gain or lose silver depending on the option chosen, pole level and chance at gaining collectible items. Examples of possible outcomes for choosing each option are provided below:

The collectable items that can be gained from Marie can be found below or here:

Choosing option 1:
* Yes! Gained X silver from Marie
* No! Marie took 4,000+ silver from me.


Choosing option 2:
* Yes! Gained X silver from Marie
* No! Marie took 4,000+ silver from me. (You will be sent back to Castout Creek)


Choosing option 3:
* Yes! The Flying Penguin isn't hungry and wanted to see what I'd say!
* Yes! The Flying Penguin was just testing me and isn't hungry!
* Yes! Marie appreciated my kind gesture and decided not to take my next catch because I'm such a classy wrangler!
* Marie accepted the offer and is waiting for my next catches. Gained X silver from Marie!
Note: Marie will take your next 1-3 catches (excluding crew and captain trips). You will not receive points, silver, or pole experience for these catches. You will receive quest credit for the fish if otherwise applicable. Marie, the Mad Patient, Hank, the homeless villain , or any of the other 10 villains in Farovia/Roperia will accept catches on behalf of Marie if you travel away.


Choosing option 4 (requires Sedatives or Frosting Blaster add-on)

  • "Awaiting Marie the Mad Patient's response..." (refresh)
  • "Gained 545 silver from the Marie the Mad Patient! Failed to get Shiv!"
  • "Gained 540 silver from the Marie the Mad Patient! Failed to get Hand Mirror!"
  • "Gained 540 silver from the Marie the Mad Patient! Found the Hand Mirror!"
  • "Took 5,326 silver from me."

Mad Patient collectable set

Collectables are a "glory award" / "achievement award" that wranglers can show off. There are a set of collectibles related to Marie, which vary in rarity.

Only one prisoner, known as "Marie", has successfully escaped from the Castout Creek Prison. DBag may be terrifying, but wranglers will need to collect items from him in order to survive the treacherous prison conditions.


Smokes (Very Common)
Commonly found in captivity, these cigarettes can be used as bounty in prison!
This collectable may be randomly dropped when choosing "Take off and run" and escaping Marie


Escape Map (Common)
"A work in progress, DBag has promised his fellow felons that the Escape Map would be finished soon. " Randomly gained after choosing "stay calm and don't move" and successfully hiding from Marie


Broken Cuff (Rare)
"Uhhh ohhh...did a prisoner escape? Because metal hand-cuffs are hard to break!"
Randomly gained after choosing "Give my catches" and having it be accepted.



Hand Mirror (Very Rare)
"The Hand Mirror allows inmates to admire themselves, or catch someone’s attention by using the reflective device."
Randomly gained after successfully using "Attack with your Candy Cane / Medical Mangler


Shiv (Extremely Rare)
"Watch out for Shivs, these knife-like weapons can easily inflict injury upon intruders."
Randomly gained from Marie after successfully using "Attack with your Candy Cane / Medical Mangler


Turning in the Mad Patient Collection will yield 1 Liquid Gold and 11 Deckhand Vouchers.

Tips

Use your higher level pole for your encounter with Mad Patient so you have a better chance at Defending.

Marie is linked to the other encounters in terms of how often she appears. If you have interacted with others and already chose an option, you should be free from encountering Marie for about two hours. She will collect the silver and points if you offered catches from another encounter.

Choosing the Defend option will get you chances at the later items in the collection so you can trade down to complete the set.