Just wrapped up a homebrew arc heavily featuring the PCs becoming mad/insane. The more mad they became, the more unsettling things they would see. For a while, a few players would see different things than the rest of the party (a cute teddy bear for the majority was a nightmare creature with glowing eyes and bloody teeth to a few) and how we (DMs) handled that was sending the demonic version to the player privately so they knew what they were seeing without the rest of the party knowing what was up. It would have been far better if we could have tagged specific images with a "dual image" where players in group A would see the "normal" version and players in group B would see the Horrors™. I could also see this working for hiding things and only PCs with a high perception being able to notice something, or PCs with true sight.