The Batman of Arkham

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In this Elseworlds tale, circa 1900, Bruce Wayne runs the place -- a respected psychiatrist by day and a vigilante helping to fill the asylum's cells by night. His treatments are thorough and compassionate, a significant change from usual portrayals of the asylum, and he measures a fair success rate with his patients.

Meanwhile, the Joker is spreading his maniacal brand of madness through the city, and Jonathan Crane is a subordinate member of the asylum staff with his own views on patient care. When Wayne falls victim to the Joker and is left in a manic state, Crane has the chance to work his harsher will on the patients. However, Bruce recovered from the gas and captured the Joker. Bruce then dedicated his life to curing the Joker.