Revelation - Test (4). If you fail, take 2 horror and search your deck for a Madness weakness. Draw that card and shuffle your deck.
Usually you don’t want to see your Madness weaknesses show up but there are exceptions. Case in point: as Wendy, Abandoned and Alone can be a crippling weakness or a complete faff depending on its timing. Sure eating 4 damage can be rough but there are times when your discard is empty and you’d rather see it now than later. Or perhaps you’re at 1-3 resources after playing your key assets and now is a real good time to indulge your Paranoia so that you don’t lose it all later.
The point is: this card looks terrible (and it can be) but think carefully before committing valuable resources to passing it. There are times where it can help just as much, if not more, than it hurts.