By insane, are you referring to a state of mental health in which one has lost touch with reality? This is the most common usage of insanity, and refers to "psychosis".
By this definition, you probably NEVER would have heard of any of the most insane people in history, because they would be so loony that they would have lived most of their entire life in a mental institution and/or be totally impeded and never make any contribution that would go down notably in history books. Think of a guy who sticks peanut butter in their ears and keeps saying "RIBBIT! RIBBIT!" while licking their fingers for no reason at all. That's insane.
Contrarily, any person who has enough mental stability to plan, organize, rationalize, and lead an entire country cannot possibly be one of the most insane person in history. Hitler had different ideals than most humans, but he's far from a loony.
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