Silas Marsh Goes "Sicko Mode"

Focus on straight combat and evasion at first, watching out for sanity with Pete and Cherished Keepsake. Protect other investigators. If needing to do massive damage, use Painkillers to take direct horror and go nuts with Meat Cleaver and Reckless Assault.

When XP allows, replace one Cherished Keepsake with Key of Ys. Painkillers can be used to boost up Key of Ys effect too.

Rely on Resourceful and Scrounge for Supplies to keep discard pile accessible throughout the game.