Humans constantly make perceptual decisions on human faces and voices. These regularly come with the challenge of receiving only uncertain sensory evidence, resulting from noisy input and noisy neural processes. Efficiently adapting one’s internal decision system including prior expectations and subsequent metacognitive assessments to these challenges is crucial in everyday life. However, the exact decision mechanisms and whether these represent modifiable states remain unknown in the general population and clinical patients with psychosis. Using data from a laboratory-based sample of healthy controls and patients with psychosis as well as a complementary, large online sample of healthy controls, I will demonstrate how a combination of perceptual face and voice recognition decision fidelity, metacognitive ratings, and Bayesian computational modelling may be used as indicators to differentiate between non-clinical and clinical states in the future.