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Hallucinations in darkness can be caused by a combination of sensory deprivation, fatigue, and the brain's attempt to fill in gaps in perception. When visual input is limited or absent, the brain may generate images or sounds to compensate, leading to the experience of hallucinations. Anxiety and stress can also exacerbate these effects, as heightened emotional states can influence perception. Certain medical conditions, medications, or sleep deprivation may further increase susceptibility to such experiences.

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