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The next most sensible places this card could show up would be any of the Menace areas. A Menace card in a Menace area would be redundant, but narratively it wouldn't be out of place, especially in the Nightmares zones.
The most unhinged place it could possible show up is Mind of a Long-Dead God. Which, uh, actually if we're talking narrative tie-ins that one might make sense.