Insane in the Membrane < onlyinclude > < / onlyinclude > Insane in the Membrane is a Feat of Strength added in the Patch 3 . 1 . The reward is the title : Blizzard announced the following on November 10 , 2010 through the Battle . net blog : This achievement ( and title ) has been confirmed to be acquire - able as of Cataclysm by a blue post : Fannin of Crushridge has taken the time to write an extensive guide on how to do this achievement : Insane in the Membrane FoS Guide - By Fannin of Crushridge - US . Parts are still worth looking at even though it appears to have last been updated in lat October 2010 . It is recommended that you read this guide ( in addition to this page ) if you are serious about attempting to get " the Insane " title . Recommendations for Reputation Gains . Bloodsail Buccaneers . Reputation with Bloodsail Buccaneers is gained by killing NPCs in Booty Bay . Killing Booty Bay Bruiser s earns 25 reputation . Other named NPCs will give 1 or 5 reputation . When you reach , guards will spawn at fixed points to attack you . Guards also spawn when you attack lower level NPCs , but not for attacking another guard . A more detailed list of the NPCs that can be killed for reputation is available in the Bloodsail Buccaneers reputation guide . When you reach or higher with Bloodsail Buccaneers , visit Fleet Master Firallon in his ship off the south - east coast of Stranglethorn Vale and complete for the < Bloodsail Admiral > title . Steamwheedle Cartel . Kill non - Bloodsail pirates or Venture Co . NPCs throughout the world . Each pirate or Venture Co . NPC grants full reputation for the " local " Steamwheedle faction to the end of and 50 % reputation to the other three factions through to . For specific information , see the list of Mobs which affect reputation with Steamwheedle Cartel . The Wastewander Bandits of Tanaris also have a chance to drop , which can be turned in , 5 at a time , for 10 reputation with Gadgetzan and 5 reputation with the three other cities . The Hidden Cove in Tanaris is a particularly good place to farm . Everlook has no local faction that grants reputation . To increase Everlook reputation to , you must kill NPCs for the other three cities or turn in to collect the 50 % spillover reputation . , a goblin northeast of the new Feathermoon Stronghold in Feralas gives quests that raise your Steamwheedle Cartel reputation . Ravenholdt . The Ravenholdt grind begins with killing Syndicate NPCs at Durnholde Keep in Hillsbrad Foothills . Each Syndicate member gives 5 Ravenholdt reputation , to the end of . Afterwards , you must to turn in 5 x to Ravenholdt Manor , for 75 reputation . These junkboxes are attained by rogues via the Pick Pocket skill from level 52 + mobs . If you do not have or want to level a rogue , you may be able to buy the junkboxes or hire a rogue to farm them for you . Lootable containers cannot be auctioned , but the boxes can be traded and / or mailed . If you do have a rogue , the most popular location for farming is Lower Blackrock Spire , as any of the orcs and ogres inside can carry the junkboxes . See Farming Heavy Junkboxes for more info . If you find you ' re being caught too often , additional points in Subtlety may help , specifically Master of Deception , Camouflage and Preparation . Darkmoon Faire . Darkmoon Faire reputation can be gained up to 2000 / 6000 using the repeatable quests available involving item turn ins . There are many possible turn ins , which have various cutoffs based on your current reputation . The top tier of turn ins that will always be available are as follows : After 2000 / 6000 , a different turn in for the same items will become available . This is so you can gain , which are not needed for this achievement . Continuing to turn in items will NOT give further reputation . To reach , you must turn in Darkmoon Cards . By collecting full decks of cards , you can turn in the high level decks for 350 reputation during the Darkmoon Faire , or the low level decks for 25 reputation whether the Faire is running or not ( they will summon a quest NPC , even if the Faire is closed . ) All of the Darkmoon Cards can be crafted through Inscription . Each card creation will produce one random card from any of the decks associated with that spell . It is not possible to select which card will be produced , only which possible decks the card may come from . You can trade or sell spare cards in exchange for or to buy cards you need to complete decks . The trinkets obtained from the card decks are BoE , so you can sell the trinkets to buy more cards . Also , if you know someone who is turning in a deck for a trinket , but does not need the reputation , they can trade you the deck to turn it in for 350 rep and you can trade the trinket back to them . Steamwheedle / Bloodsail Requirement . No clear consensus has yet been reached on whether or not you must be simultaneously with the Steamwheedle Cartel and with the Bloodsail Buccaneers . Initally , players needed to meet both of those reputation requirements at the same time to be awarded the achievement and title . More recently , some players have earned the achievement while with the Steamwheedle Cartel and with the Bloodsail Buccaneers , as long as they were with the Steamwheedle Cartel before they began the grind . However , some players still have to regain their Steamwheedle Cartel reputation , without losing their Bloodsail Buccaneers reputation , in order to earn the achievement . Responses from Blizzard Representatives have been mixed . In - game tickets have received answers both ways about requiring the reputations simultaneously . There have only been two blue posts on the World of Warcraft Forums regarding this : Posters in this bug report thread returned with further evidence that the achievement was not working as intended ( whether Blizzard intends it to be simultaneous or not ) , but no further response had been received on the forums from any Blizzard Representative . Players can grind to with Steamwheedle Cartel before attempting Bloodsail Buccaneers , if they wish . At some point after Cataclysm release , any issues with not getting achievement credit when hitting exalted for either faction was fixed . In Cataclysm . The night elves will once again have mages , which means the Shen ' dralar can move out of Dire Maul . On Nov 10 , 2010 , it was announced that the achievement will remain in the game , with the Shen ' dralar requirement removed at Cataclysm launch . A separate Feat of Strength for those that attained exalted with Shen ' dralar prior to the launch of Cataclysm will appear in a later patch . Booty Bay Bruisers now provide reputation for Bloodsail up through exalted .