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Scared Straight
Defeat the Shade of Medivh while all party members have Paranoid on Mythic difficulty in Return to Karazhan.
Scared Straight requires defeating the Shade of Medivh in Return to Karazhan on Mythic difficulty while every party member has the Paranoid buff, obtained by clicking the book 'Terrifying Stories to Tell at Night' on the floor to the left of the Guardian's Library entrance.
Bring a Full Group
This achievement requires a full group of 5 players — the Paranoid buff must be active on all party members simultaneously, and the achievement cannot be completed solo regardless of player level.
Click the Book First
Before engaging the Shade of Medivh, have every party member click the book 'Terrifying Stories to Tell at Night,' found on the floor to the left of the entrance to the Guardian's Library — this grants the Paranoid buff, which causes uncontrollable forward movement for five seconds whenever you move, though you can still use abilities and change direction during that time.
Defeat the Shade of Medivh
Only pull the Shade of Medivh after all five party members have the Paranoid buff active, then defeat the boss to complete the achievement.