Modifies a noun

• laughter: The characters would burst out into maniacal laughter for no reason.

• laugh: Dr. Aziz is so charming and funny with a maniacal laugh.

• grin: Caleb just keeps hitting her, a maniacal grin on his face.

• cackle: From the room I could hear the sounds of someone laughing; laughing with a maniacal cackle.

• killer: Quick acting Tom manages to shoot the maniacal killer when he later emerges from a chest and saves Mary from certain death.

• glint: And the interior had this maniacal glint, like rows and rows of metal teeth adorned by a vagrant monster truck.

Modifying Another Word

• almost: Almost maniacal care has been taken over the RSV 1000 R Factory with attention lavished on even the smallest details.