What causes DND madness?

Diseases, Poisons, and planar Effects such as Psychic Wind or the howling winds of Pandemonium can all inflict madness. Some Artifacts can also break the psyche of a character who uses or becomes attuned to them. Resisting a madness-inducing Effect usually requires a Wisdom or Charisma saving throw.

https://roll20.net/compendium/dnd5e/Madness#:~:text=Diseases%2C%20Poisons%2C%20and%20planar%20Effects,Wisdom%20or%20Charisma%20saving%20throw.

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