About the Insanity Chart i failed to understand something. How would you ever get the result: Prophet of Madness? I mean it says whenever you gain 10's of Insanity points you gain a trauma. The last time you get a trauma is when you reach 90 Insanity points. Well if we do a simple math 2d10+9 (it says Insanity Bonus ) we get a maximum result of 29... But the Prophet of Madness result is 30... Am i missing something here?

In certain circumstances you may add a modifier to your insanity roll. At the moment, according to the book, this can only happen at chargen but who knows what future books will hold.