On the Eyes of Midnight
The Despair deck is a specialized deck of 30 cards used by the DM to further enhance the evocative, dark nature of the demi-plane of Ravenloft. It consists of 3 types of effects – Madness, Apathy, and Fear.
Players draw from the deck when instructed to by the DM which are usually hinged on story elements and/or situation appropriate ones. (ex: Stepping foot inside a dreadful passageway, Nightmares, Witnessing and awful site, etc.)
A player may draw from the despair deck voluntarily, in an effort to further spice things up and encourage good role play. For every 3 times a player does so (drawing voluntarily), they earn a single Fate Point.
A character may come to find themselves under multiple effects of the despair deck. These effects are cummulative and do stack. They cannot be removed by any other means than successfully completing the check indicated on the card after an extended rest, or by DM ruling.