The 1518 Dancing Plague: The Mass Hysteria That Made a City Dance to Collapse

Artistic depiction of the 1518 Dancing Plague with townspeople dancing uncontrollably on a medieval street.
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In the summer of 1518, the streets of Strasbourg, then part of the Holy Roman Empire, filled with music, drums, and terrified confusion. People weren’t celebrating. They were dancing, uncontrollably, for hours and then days at a time. The event would go down in history as the Dancing Plague of 1518, one of the strangest medical and social disasters ever recorded. Between July and September, dozens to hundreds of people moved through the city in a trance-like state, unable to stop, collapsing from exhaustion, and in some cases dying where they fell.

The outbreak began with a single woman: Frau Troffea. In mid-July, on a narrow street in Strasbourg, she stepped into the open and began dancing by herself, rigid, frantic, and without rest. Neighbors watched in confusion as she spun, stomped, and twisted for hours. She returned the next day and did the same. Chroniclers wrote that she danced for nearly a week, stopping only when her body gave out. But by then, the spectacle had drawn attention, and something began spreading through the city.

Within days, more than thirty people were dancing. By the end of the month, local authorities counted over a hundred. Eyewitnesses described the dancers as pale, trembling, and drenched in sweat. Some screamed for help but couldn’t stop moving. Others seemed entranced, eyes unfocused, feet blistered and bleeding. Contemporary physicians were summoned. Their diagnosis: “hot blood.” They believed the afflicted needed to dance the fever out. Instead of quarantining them, officials built wooden stages, hired pipers and drummers, and encouraged the dancing to continue.

This decision made the crisis worse. With music pushing the rhythm forward, crowds grew. Surviving city orders from the Strasbourg Council describe streets flooded with bodies collapsing from exhaustion and continuing to twitch on the ground. Some historians believe the death toll reached the dozens; others say it may have been higher. Malnutrition, heatstroke, heart failure, and sheer physical collapse took a brutal toll. The same council records noted that priests eventually intervened, arguing that the phenomenon was not medical but spiritual. The dancers were taken to the shrine of Saint Vitus, the patron saint associated with neurological disorders, where priests performed rituals intended to break the spell.

What caused the Dancing Plague? Historians and medical researchers have debated it for centuries. One theory suggested ergot poisoning, bread contaminated with a hallucinogenic fungus that grows on rye. But ergot typically causes convulsions and muscle spasms, not coordinated dancing, and it rarely affects large populations simultaneously without widespread poisoning symptoms.

A more widely accepted explanation is mass psychogenic illness, collective anxiety manifesting physically. Strasbourg in 1518 faced famine, harsh taxation, and outbreaks of disease. Religious and social pressures weighed heavily on everyday life. In a society already primed by fear and hardship, one woman’s breakdown may have ignited an emotional contagion that spread through a community desperate for any form of release. Documentation shows the region had experienced earlier “dance manias” in the 1300s and 1400s, suggesting cultural memory played a role in shaping expectations and behavior.

Another factor was spiritual belief. In medieval Europe, Saint Vitus was associated with uncontrollable movement. People believed he could curse victims with a compulsion to dance. When Frau Troffea began her movements, onlookers primed by local folklore may have believed they were witnessing a saint-driven affliction, turning fear into self-fulfilling prophecy. The mind-body link, magnified by stress and superstition, may have pulled hundreds into the phenomenon.

The outbreak finally ended in early September when the afflicted were moved, some carried, some barely able to stand, to the shrine at Saverne, where rituals, prayers, and isolation broke the cycle. No new cases were recorded afterward. The city dismantled the stages, dismissed the musicians, and attempted to push the incident out of public life. But Strasbourg’s Dancing Plague remained one of the most thoroughly documented mass hysterias in European history.

Today, the 1518 Dancing Plague stands as a reminder of how fragile the human psyche can become when fear, belief, and hardship collide. The people who danced themselves to collapse were not celebrating, they were trapped inside a moment of psychological and cultural upheaval that their bodies expressed through motion. It is one of history’s most haunting events: a dance that no one wanted, driven by forces no one could see, in a city that watched in horror as its people moved to a rhythm they could not escape.


Sources & Further Reading:
– Strasbourg City Council records (1518) and translated ordinances
– Paracelsus’ writings on the 1518 outbreak
– John Waller, “A Time to Dance, a Time to Die” (Oxford University Press)
– Medical analyses of mass psychogenic illness (Lancet Psychiatry & BMJ)
– Regional histories of Saint Vitus cult practices in medieval Europe

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