It is possible to get a scroll of genocide both blessed and cursed at the same time. The effect of this is that it prompts for a single monster, genocides most of that monster, and sends in the remaining several monsters who are now looking for revenge.

Alternatively, make this a confused effect instead of opening the can of worms of allowing items to be simultaneously blessed and cursed.

The scroll of gold detection, if read when confused (and cursed, possibly), detects silver items instead of gold pieces.

It’s probably desirable to keep the existing effect of trap detection in some form, so it’s a bit tricky to decide exactly which combinations of cursed and confused should keep that and which should detect silver.

The scroll of identify’s confused effect allows you to pick any monster you can see and “identifies” them, giving either the same information as using a stethoscope on them, or the same information as probing, or possibly even more information (such as their resistances and status effects).

Scrolls can be “corrupted” or “misspelled”. This basically acts as a toggle on whether the confused behavior of the scroll activates: reading a corrupted scroll while not confused will produce the confused effect and reading it while confused will produce the regular effect. There is no way to restore a corrupted scroll to normal.

Possibly, an unidentified corrupted scroll will have its label deterministically garbled similar to engravings, e.g. “scroll labeled FO0B|E BLe7Ch”. If identified it would simply show as “corrupted scroll of X”.

Writing a scroll while confused will make the result corrupted. Also, scrolls hit by water damage or produced from polymorphing other scrolls may be corrupted.

Reading create monster while confused has a small chance of creating a trapped large box, which when triggered will say “The box bursts open!” and create monsters like the scroll of the same beatitude would.

Reading a noncursed scroll of amnesia while confused “clears your mind”, which cures the confusion and sometimes gives you enlightenment, but the regular amnesia effects still happen too.

Confused genocide doesn’t necessarily genocide your own species; it chooses a random genocidable species (which might be your own) and genocides that. If blessed, it picks a random monster class containing at least one genocidable monster (including @) and genocides that.

Another option is that confused genocide automatically picks a monster you have probably been thinking about, such as the nearest monster you can see (if you can’t see any other monsters, you can still see yourself!) or the last monster you saw or killed.

The confused scroll of magic mapping tells you where some special level or branch entrance exists on the main branch of the dungeon which you have not yet visited. If you have visited every special level including the Sanctum, it gives you a message about the DL 1 upstairs.

Confused genocide (uncursed or blessed) does not genocide you. Instead, it sets a level flag that prevents any more monsters from spawning on that level via the normal mechanism for the remainder of the game. (Monsters already created are unaffected.)

If your Intelligence is 6 or lower, reading a scroll may give its confused effect even when you are not confused.

Reading a scroll of confuse monster while confused confuses nearby monsters in a large radius akin to confused taming.

Confused scrolls of wishing let you wish for a terrain type that appears under you, like in wizard mode.

Assuming a scroll of consecration exists: confused scroll of consecration consecrates your weapon, which blesses and fooproofs it and maxes/increases its enchantment with no possibility of evaporating. Possibly, turn it into an artifact as well.