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Some could consider this to solidify the Brain of Confusion's place as the DPS version of the Worm Scarf. The short-term DPS increase from the critical hit chance increase after a successful dodge can allow the player to deal much more damage to enemies or bosses for a short period of time.Often in Master Mode, taking damage in the first place can be extremely dangerous, so a chance to dodge can prove to be more useful in tight situations as taking 17% reduced damage from the Worm Scarf may still be too much. This makes the Brain of Confusion significantly more useful and is arguably even better than the Worm Scarf, depending on the scenario. This means that both accessories will, on average, prevent the same amount of damage but in a different way. In the Desktop version, Console version, Mobile version, and Nintendo Switch version, the added chance to dodge nearly matches the percentage of damage the Worm Scarf prevents along with the extra critical bonus.

Despite this, it can still shine in certain moments, such as during events, or for preventing the player from being swarmed by enemies such as Cave Bats.

In the tModLoader version, the Brain of Confusion is sometimes considered to be a disappointment compared to its Corruption counterpart, the Worm Scarf, which reduces damage taken by 17%.

The chance that the Confused debuff is inflicted, as well as its duration, is calculated for each enemy within range individually.

However, this is not as reliable as a flat damage reduction bonus or defense bonus provided through other means such as the Worm Scarf.

Its 16.67*1/6 (16.67%) chance to nullify incoming damage can be viewed as a dynamic 16.7% damage reduction that is not a part of the overall defense system.

The Brain of Confusion is not affected by dyes.

Each time the effect is triggered, a flying brain projectile will be spawned.

It is not activated from damage inflicted over time, e.g.

The effect can be activated by any form of direct damage, including damage taken by traps and thorny bushes.

The values are in pixels divide by 16 to obtain tiles. There are certain damage thresholds that affect which equation to use: The range within which enemies are affected is determined randomly as well. The debuff duration is determined randomly, and the bounds depend on the amount of damage taken:

It is increased by 0.4*1/250 (0.4%) per point of damage taken, hence with 100 or more damage taken, the debuff is guaranteed to be inflicted. The base chance to inflict the Confused debuff is 60*3/5 (60%). Though not listed, the debuff will also increase summon damage by 10% / 20%. While the debuff is active, the player cannot dodge another attack. It increases critical strike chance by 10% / 20%, despite being a debuff. In the Desktop version, Console version, Mobile version, and Nintendo Switch version, the player wielding it has a 16.67*1/6 (16.67%) chance of dodging an attack, which inflicts the Cerebral Mindtrick debuff on them for four seconds. The chance, duration, and area of effect of the debuff are based on the amount of damage taken. Upon taking damage with the Brain of Confusion equipped, nearby enemies have a 60*3/5 (60%) chance of receiving the Confused debuff for at minimum 1.5 seconds. The Brain of Confusion is an Expert Mode accessory item obtained from the Treasure Bag dropped by the Brain of Cthulhu.