There can be many reasons for hallucination, you also mentioned consciousness altering drugs. But I suspect something like a tulpa is an actual physical manifestation, not a hallucination. This would presumably be something that other people could see as well, which is why I linked to the alleged 1917 Fatima, Portugal event. But even there reactions were mixed. Some people saw nothing at all (including religious people) while most claimed they saw "something". I suspect they either wanted to be part of an event or maybe they were just staring at the sun too long.
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