Using the Crypto Fear & Greed Index and Bitcoin daily data, we document that sentiment extremity predicts excess uncertainty beyond realized volatility. Extreme fear and extreme greed regimes exhibit significantly higher spreads than neutral periods – a phenomenon we term the “extremity premium.” Extended validation on the full Fear & Greed history (February 2018–January 2026, N = 2,896) confirms the finding: within-volatility-quintile comparisons show a significant premium (p < 0.001, Cohen’s d = 0.21), Granger causality from uncertainty to spreads is strong (F = 211), and placebo tests reject the null (p < 0.0001). The effect replicates on Ethereum and across 6 of 7 market cycles. However, the premium is sensitive to functional form: comprehensive regression controls absorb regime effects, while nonparametric stratification preserves them. We interpret this as evidence that sentiment extremity captures volatility-regime interactions not fully represented by parametric controls – consistent with, but not conclusively separable from, the F&G Index’s embedded volatility component. An agent-based model reproduces the pattern qualitatively. The results suggest that intensity, not direction, drives uncertainty-linked liquidity withdrawal in cryptocurrency markets, though identification of “pure” sentiment effects from volatility remains an open challenge.

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