[2] The game's name and theme comes from the UK media obsession with fame, celebrity, and the pressures of being in the spotlight, as illustrated by publications such as Heat (magazine), OK!, Hello!, the London Lite and thelondonpaper.
It seeks to play on the notion that any normal person can be thrust into the limelight via reality and talent shows such as Big Brother or The X Factor.
The gameplay is designed to encourage discussion and banter over players' questions and answers, many of which are humorous and edgy in nature.
At this point, players add up the marks on their clipboard in the four sections, which gives them a tally of Mad, Bad, Sad or Glad.
Players then look up their profile in the Clinic Analysis Book, which gives them a full psychological profile, including which celebrities they are most like, which celebrity friends they might socialise with, what television shows they might appear on, and a final Clinic Rating which answers the game's opening question of "Are You Mad?"