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Why do a lot of people with extremely high IQs seem a bit off?

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Assuming that you are not highly polydactyl, I have personally interacted with more Nobel Prizewinners than you have fingers, including five before they were paid...

I have also been able to interact with amazing people both in Nobel categories and in other categories.

My own observation is that the people who are really at the top of their fields/endeavors are often either very nice or very nasty, without a lot of middle ground.

You will find this in biographical info about them, as well. Look up Shockley. Guy was an ass. A racist who tried to upstage a colleague & co-winner of their shared endeavor, and a guy who so mistreated everyone at his semiconductor company that...well, do you see advertising saying "you can trust it, because it has Shockley inside"?

Compare with, say, Schawlow. See what he did with his money.