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What part of the game are you at? As you progress, new interactions with Clara will appear, allowing you to gain paranoia more quickly.

My quests only require me to collect 150 paranoia and I passed by the pharmacy a couple of times and that's it.

Oh, um... I think I figured out what I need to do.

Can you please tell, how increase paranoia?

just go to Clara in the morning or Noon there you need to choose romance I don't remember either in the morning or at noon dude