Where madness really causes a problem is with bosses. If you die repeatedly at a boss and your death spot is in the boss arena, the doppelganger won't show up, so you're kind of stuck with max madness unless you decide to go get killed somewhere else, take down the doppelganger and be back to zero madness.

Wuchang Fallen Feathers is a triumph of combat and level design that mends the worst elements of FromSoftware’s soulslike formula.