Tier: Paragon Prerequisite: Derro, scream of madness racial power Benefit: When you use your scream of madness power, you may choose to cause all targets you hit to be marked until the end of your next turn. Back to Main Page → 4e Homebrew → Character Options → Feats → Racial Feats. Back to Main Page → 4e Homebrew → Character Options → Feats → Paragon Tier Feats.