Sane ONLY spawns when you do your book hand-in to mad Kaiaren, and he is only alive for 90m. I was following the wiki quest text and it didn't warn that Kaiaren's true form was only spawnable once and I did my book hand-ins early, I was under the impression that both Kaiaren's were always up; I realized shortly spawning him.
He does not despawn.. as when I spawned him doing my book hand-ins another monk was waiting in my same predicament, handed in his epic, and True Kaiaren was still alive afterward for his 90m.
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