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tulpamancy attempts didn't do anything besides train my brain to produce vague symptoms of plurality.
lion does exist, in some form. he may be a presence too, he may be involved with internal dialogue, but there's no way to know.
dissociation/detachment generally isn't an indicator of anything going on behind the scenes.
if i want to believe i'm experiencing something alterhuman-related, i will end up tricking myself while nothing is really there.

probably!