SCHIZOPHRENIA
⚪ Last updated 2021⚠️ Install Order · 2 steps
Install in this order, then this mod last — most mods fail to load without their framework and dependencies in place.
Preview

🔍 Analysis
- 👍 1.5% endorsement rate — high engagement, a strong quality signal
- 🏆 #3 of 18 Audio - Misc mods in this game by downloads
📋 About This Mod
Contrary to what the name of this mod suggests, it doesn't actually give you schizophrenia, nor does it introduce any new "schizophrenic" game mechanics. What it does is it replaces almost all Music and various UI sounds (VATS, level up, XP gain, etc.) with creepy whispers, disturbing sounds and schizophrenic voices. You can also optionally install a new Main Menu replacer. I've collected multiple audio samples from various authors/sources (credits below) and compiled, edited and mixed them to create unique "music" tracks and sound effects.
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Behind you!Below you'll find a complete list of all new tracks and sounds introduced by this mod. You can pick and choose which ones do you want to install and which ones you don't in the FOMOD installer.
All replaced music tracks/sounds:
-
[]All Combat Music
[
]Exploration Music[]New Quest, Quest Completed and Quest Failed
[]Death Music
[]XP Gain
[]Level Up
[]Location Discovery
[]Menu Navigation (not all sounds, Pip-Boy remains mostly intact)
[]Legendary Item
- Legendary Enemy Mutation
Installation:
Installing using Vortex/Nexus Mod Manager (or any other mod manager that is capable of running a FOMOD installer) is highly recommended. But you can also install manually by extracting only the files that you personally want to use (all folders are named by what they contain).
Also, here are some great mods that you can use together with mine to turn your game into a real psychological terror: PILGRIM, Pilgrim themed Main Menu, Murder_Death_Scream, GRIM - The Curse, GRIM ENB, Whispering Hills, Terrifyer - Ghouls, Horrorghouls soundpack, D. E. C. AY - Better Ghouls, A Cannibal in Concord, Children of Ug-Qualtoth, The Kelly Manor Horror, Damage Voice More Frequently, S. T. A. L. K. E. R. Music Mod, FROST Survival Simulator, Fainthearth Manor
Huge thank you to the creators over at Freesound.org for the inspiration and for the audio samples I used in this project: dimbark1, hykenfreak, carmsie, horroraudio, djchaos, gabemiller74, unfa, elizaeilis, hauntedswkids, pjhodson, maxdemianagl, screamstudio, neweonorchestra, ebrown15, brainclaim, belarathbone, geoneo0, aderumoro, ameangelofsin, onderwish, jealoussiblingprison, the baron, thpsounds, hinzebe
SCHIZOPHRENIA is a highly customizable audio mod for Fallout 4 that transforms the Sole Survivor into a traumatized schizophrenic. It replaces main menu music, VATS sounds, XP gain sounds, and other UI audio cues. With 131 endorsements and over 8,600 downloads, it's a niche but appreciated mod for players seeking a darker, more immersive experience.
✨ Key Features
📊 Pros & Cons
✅ Pros
- Community-approved with 131 endorsements and 8,643 downloads.
- Highly customizable, letting you tweak the audio to your liking.
- Adds a unique, immersive layer to Fallout 4's atmosphere.
⚠️ Cons
- Last updated in 2021, so may not be compatible with the latest game patches.
- Audio mods can clash with other sound overhauls, so check your load order.
- The unsettling theme isn't for everyone—might be too intense for casual play.
For Fallout 4 players who want a darker, more psychological horror vibe and are tired of the default UI sounds. If you're into role-playing a broken character or just want a fresh audio experience, this is for you. Skip if you prefer a lighthearted or standard Fallout atmosphere.
💡 Beginner Tips
- Use a mod manager like Vortex to install and manage this mod easily.
- If you have other audio mods, place SCHIZOPHRENIA lower in your load order to ensure its sounds take priority.
- Test the mod in a quiet area first to get a feel for the new audio before diving into combat.
📊 Mod Details
- Game
- Fallout 4 Mods
- Author
- ProfMajkowski
- Version
- 3.0
- Downloads
- 8,643
- Endorsements
- 131
- Category
- Audio - Misc
- Created
- 4/10/2021
- Updated
- 11/4/2021
🔧 How to Install Fallout 4 Mods
Download from Nexus.
📖 Full step-by-step install guide for Fallout 4 →
Visit the official mod page for specific installation instructions for this mod.
🎮 Need cheat codes or console commands? Check ur gaming wiki for Fallout 4 commands, item IDs, and more.
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