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Act III marks a turning point in Macbeth's personality and state of mind. The once sympathetic and noble Macbeth has become dark, sinister, paranoid, and filled with blood lust. In other words, he has shifted from 'good' to 'evil' in the minds' of the audience. He is paranoid about his ill-gotten powers, and is using ruthless violence to protect himself out of desparation.
Of particular note, Macbeth orders the death of Fleance (Banquo's son). This would certainly illustrate Macbeth's state of mind. Ordering the killing an innocent child indicates a complete breakdown of character.
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