Madness and greatness come hand in hand. From what I’ve read I could think of authors like Kurt Vonnegut, except I don’t think his style is “rambly”. Julio Cortazar is very ramly and sense in his work comes in rhythms and an resonance. Also honorable mention to Thom Yorke even though he’s not a book writer.
by sateliteconstelation
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Half of Nabokov’s protagonists, depending on your interpretation!
[Notes from Underground](https://en.m.wikipedia.org/wiki/Notes_from_Underground) is the OG stream-of-consciousness “ramblings of a mad person.”