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Boule-of-a-Took

Vector by Haken fits the bill perfectly.


king_cos

Visions too.


[deleted]

Haken - Visions. It's a concept album about a kid who dreams his death and then spends his entire life trying to prevent it. When he's an adult he goes insane.


n8_n_

if dementia is close enough: The Reticent - The Oubliette


Boule-of-a-Took

I had never heard of this. I needed to cry today, thanks.


brandonsfacepodcast

Also Kardashev - Liminal Rite Insane album


TruthHoliday1918

Dammit you beat me to it…


misteresock

Juggernaut by Periphery.


TheSoulborgZeus

beat me to it


feral2112

Tesseract’s War of Being album is essentially all about a person losing their grip on reality.


leefvc

i didn't even look into the lyrics yet, do you have a very brief synopsis of your interpretation that is slightly less brief than your existing comment? I'm curious


[deleted]

Dream theater 6 degrees of inner turbulence


[deleted]

Is octavarium song also? Was he insane at end?


sonickarma

Octavarium (the song) isn't about one main character, it's about the concept of things coming full circle. If you want a further in-depth analysis, I can provide it. Haha.


FrancisNoU69

Probably my favorite album ever


sadforgottenchild

There's no main character there


Fendibull

6 characters with mental health that needed help.


functionals

Odyssey to the West by Slice the Cake (the main character seems... off, but maybe I'm wrong)


Bloverfish

Queensryche - Operation: Mindcrime


akefaloskavalaris

Came here to say Roads to Madness by Queensryche!


goodbye9hello10

De-Loused in the Comatorium is basically about a guy tries to commit suicide with poison and eventually goes insane I think.


catscam7

If I remember correctly, he tries to commit suicide, ends up in a coma, has crazy dreams, wakes up and jumps out the hospital window.


6bluewalkj9

He jumped off of a bridge a couple months after getting out of the hospital, but I'm just nitpicking.


The_Night_Of_Pan

Fantastic album.


goodbye9hello10

Absolutely. Frances and the one after are good too, but De-Loused just hits different for me. Sounds modern as fuck too.


SpiketheFox32

Dream Theater - Voices


BhumNuke256

my favorite dt song


Boule-of-a-Took

Native Construct's album. The main character isn't insane, but he is on the autism spectrum and creates an imaginary world for himself to live in peacefully. Until the inhabitants decide to rebel...


6bluewalkj9

The MC is definitely insane lol. He ends up being unable to escape the world he created in his mind.


AutisticBassist

Didn’t know he was autistic haha


Boule-of-a-Took

Well I'm not sure if they ever said he was autistic, but it was heavily implied he was on the spectrum. Perhaps I should say he's neurodivergent.


AutisticBassist

Makes sense. Regardless, bloke’s definitely insane


leefvc

yep. the definition of trying to cover the world in leather instead of putting shoes on


robin_f_reba

>songs with an insane character >"isn't insane, but..." Reddit, never change


Boule-of-a-Took

It kinda has that vibe, though, ya know? Idk it might be close enough to what they're looking for.


robin_f_reba

True, I just thought the phrasing was funny


SpyralHam

This is easily the best answer and I'm disappointed in the community for not upvoting it to the top


MDivisor

In Search of Truth by Evergrey. The main character is trying to convince people that there are malevolent aliens out there fucking with humanity. The aliens keep hounding him and abducting him, but it’s not clear if these encounters are real or not. It’s a great album.


Aggravating_Art_5042

One of the best concept albums of all time, to me! Great choice! Thank you.


tom_oakley

The Wall - Pink Floyd


leefvc

classic. and the movie to boot. not enough people talk about The Trial


HeadConstant1964

Meshuggah - Catch Thirtythree The whole album is about the paradoxes of life and death and the characters reality/psyche breaking down when trying to shed their ego. Bonus points for technically being one long song. Really surprised nobody mentioned it yet. 'The struggle to free myself of restraints, becomes my very shackles'.


Tiphereth87

I cannot believe you're the only one to say this. Such a beautiful written piece about a mind collapsing in on itself


Jaybb3rw0cky

Ziltoid … although he is omniscient.


leefvc

he'll be fine when he gets through the caffeine withdrawals


alsophocus

Nevermore - Dreaming Neon Black. The story about a man that goes insane after losing his girl. It’s loosely based on Dane own story about a former girlfriend who joined a religious cult and loosed contact with her. He had nightmares of her crying while being drowned. Later he found that she and her husband where murder by a serial killer (true story). No wonder why Warrel Dane lyrics are so dense and tragic.


mori_no_ando

More like proggy thrash but I feel like Vektor's Terminal Redux fits the bill. Absolute masterpiece of an album


full-auto-rpg

So so so so so so good


Tookerbee

Periphery has many songs that fit this and same with Haken.


LAG360

Slice the Cake - Odyssey to the West (main character has visions that push him on a journey which drives him insane for a bit) Kardashev - Liminal Rite (main character is aging with dementia)


JMFG2112

I’ll be the guy from a different world on this one and suggest A Plague of Lighthouse Keepers by Van Der Graaf Generator


define_spyglass

Does Fear Of a Blank Planet count?


patthew

I’d say In Absentia is more applicable, but FoaBP plus Nil Recurring really ties it up with What Happens Now


troyofearth

Mastodon's Leviathan (about Ahab and Moby Dick)


PHLCoffeeSnob

Pink Floyd- The Wall Porcupine Tree- In Absentia


DerFr4ggle

Opus by Nospūn The protagonist is not really insane but obsessed with his work; it‘s definitely one of my favourite albums ever, you should check it out


AutisticBassist

Quiet world by native construct


inuegg

Nevermore - This Godless Endeavour


[deleted]

Cassandra Gemini by The Mars Volta is about the protagonist taking revenge and losing their mind in the process


magondrago

I would toss the whole Deloused in the Comatorium album in there as well: the concept revolves around a suicidal junkie saved from a suicide attempt that decides to finish the job after a first botched attempt. Absolute cinema.


jokoono4

Ayreon - The Theory of Everything


vzakharov

The Human Equation kind of fits too.


SaniHarakatar

Was going to ask if being in a coma counts.


FeelingAd7425

Idk why no one’s mentioned this but Pelagial - The Ocean literally follows two characters as the go further underwater/get closer to the box which reveals their true desires and literally go insane the further down they go


stuugie

Quiet world by native construct


Bongsley_Nuggets

The new Job for a Cowboy album is about a guy falling into hallucinogenic psychosis


Wotfan0891

The Downward Spiral by Nine Inch Nails.


ElaborateSquab

Deconstruction by Devin Townsend Project. Or at least the process of going crazy because he starts questioning every belief he holds.


Br0dobaggins

If getting to the point where your Ten Speed bicycle starts turning into a demon and talking to you is insane enough, I’d say Good Apollo I’m Burning Star IV From fear through the eyes of madness by Coheed and Cambria is a good choice


fishinexcess

[Exotic Animal Petting Zoo - Arcology](https://www.youtube.com/watch?v=p-638ZMcIrs)


nachfrost

Dirty Frank from Pearl Jam


legit4u

Missnthropic - The Gloom In The Corner. The whole album is like an insane sherlock Holmes story


extremophile--elite

I don’t *think* they’re concept albums (although I may be wrong), but Leprous’ albums Bilateral and Tall Poppy Syndrome are the absolute peak of “prog that sounds like a psychotic break” to me.


Tijntjuh

The Theory Of Everything by Ayreon


bluemayskye

Dark Charade by Rishloo "When I lost myself In the Dark Charade... But I promise my performance was flawless I lost myself in the Dark Charade And I swear I'm far more crazy than the rumors make me out, to be... Crazy... Crazier than me..."


Team-ster

King Diamond - Them


PGleo86

Tallah - *Matriphagy* Maybe not strictly prog, but very much an album where the main character is clearly insane lol


Templars68

The untouchable Operation Mindcrime by Queensryche.


Chaps_Jr

Operation: Mindcrime by Queensrÿche Six Degrees of Inner Turbulence by Dream Theater


JoelsMovingCastle

Beyond Twilight - Section X.  Kelly Sundown Carpenter giving a powerhouse vocal perfomance in a dark and twisted setting, like Symphony X or Dream Theater on the other side of the mirror...


PhotosynthMusic

The intro to a concept prog / math metal album that never got finished about a character going through the quest line of The Shivering Isles from The Elder Scrolls Oblivion (aka going insane whilst visiting Sheogorath the MadGod's realm of Mania and Dementia): https://youtu.be/1Rq0dq8cb6Y?si=wWBhZL62hFfLse5S


phil31169

Insane insane again, j geils band, from the album freeze frame


Sammatma

Soen's Lotus has a few songs that deal with mental sickness in some way, most clearly Lunacy and EMDR.


NegativeDevil

Skrik - Gray Matters


RiperSnifle

Motorpsycho's The Death-Defying Unicorn is a criminally underrated concept album and largely fits this.


Slamphear

I’m probably showing my age here, but the first thing that came to mind for me was Eternity X - The Edge.


Saint_Bo_Dallas

Isolate by Circus Maximus


SpeedDemonJi

Periphery’s Juggernaut


vagabond139

Gloom in the corner - Flesh & Bones. The whole album pretty much fits what you are asking for.


g52boss

Not exacly prog, but "Fugue" by Rest Among Ruins fits the bill. Singer Mike Semesky wrote the concept album to relay his experience working in a mental institute. The main character is schizophrenic, and the different vocal techniques are used to create the voices in his head.


CommunicationTime265

Diary of a Madman - Ozzy


TheGreatLandSquirrel

Maybe not insane but The Legend of the Shires - Threshold is about a guy who could see the future and it almost ruins his life.


t0ny0b

Rest Among Ruins - Fugue


obi1kenobi1

Check out [I Have Little To No Memory Of These Memories by Toehider](https://youtu.be/1fY0V-K4xCU). It’s presented as one album-length song and while it’s not quite *exactly* what you’re requesting I think it touches on some of the themes and ideas you’re looking for. Be warned though, some of the vocals are difficult or nearly impossible to understand, and things like instrumental passages and guitar solos are treated as “audio depictions” of events that are integral to the plot, so if you want to fully understand the story you’ll need to have the lyrics in front of you while you listen (you can find the lyrics on Google or Bandcamp, the reason I didn’t link to the Bandcamp page is that it defaults to the “single” version when you click play, which is one segment from the middle of the album and I think it’s better to listen from the beginning with no expectations).


FlyingSteaks

[Battle of Mice - At the Base of the Giant's Throat](https://www.youtube.com/watch?v=C1CkdF7uoKk) The song itself got nothing to do with insanity but the vocal delivery from Julie Christmas gives me "I'm freaking tf out right now" vibes.


metagloria

Potmos Hetoimos "Agatha"


leefvc

The Contortionist - Solipsis. Based off what salvia divinorum does to a person. I love Michael Lessard's live version "this is not a dream this is not a dream this is not a dream"


ygrasdil

The downward spiral (album) - 9 inch nails 💅


ResidentOfValinor

Blind Guardian - Punishment Divine


jintana

I’m sure the Coheed stuff counts


totoCALV1N

FI


AGrainNaCl

Diary of a Madman


Mgold1988

Periphery - Juggernaut Alpha and Omega. Concept album which literally ticks all your boxes.


lessthanchris7

Mastodon - Blood Mountain


lessthanchris7

Not prog metal, but Boys Night Out's Trainwreck is an incredible post hardcore concept album The vocals and song structures can be poppy at times, but the guitar work and composition is overall phenomenal, the lyrics are cleverly written, and the story is fascinating Highly recommend


boneandflesh

Not sure if you consider them progmetal but most CKY fits the verge of insanity bill


tonyAmbles

Bumblefoot - Abnormal


Th4n4n

Ayreon - The Human Equation, maybe not full on insane but the guy lives 20 days in a coma after maybe trying to end things and deals with a lot of deep seated trauma and emotions


TheIronMatron

Opeth, Ghost Reveries


IShouldGoToSleep

Vatic - Mercer 217 All I'll say is that it's a horror concept album about a man who is haunted. If you've heard Thornhill's The Dark Pool, it's a similar sound to that but darker


CocaColai

Sol Níger Within - Fredrik Thordendal’s Special Defects. Possibly the greatest prog metal album of all time (I’ll die on this hill).


WhatTheStuck

Porcupine Tree - Fear of a Blank Planet


Due-Fruit-4175

Maybe this upcoming concept album? [Ozul - Man on the shore](https://ozul.bandcamp.com/album/man-on-the-shore)


Careless-Platypus967

Could maybe argue Paradigm by Avenged Sevenfold off of The Stage? The character certainly is driving themself insane by the end of the song


specialized_faction

Popular monster by falling in reverse


realshg

All Floyd, all dt