RAMPS won't PID tune and shows unreal temps
This can come from several sources:
Hardware
The thermistor or its connections might be damaged, and the fault is only observable when the hotend is hot or moved to a certain area. Start by checking the wiring! You may be able to repair a bad connection easily, but depending what was broken, you may need to replace something. In some cases squishing a thermistor cartridge too much can destroy the internals, so a replacement is needed.
A mainboard failure is more likely to just show a static temperature, and a heater failure would show as maybe not getting past a certain point.
Firmware
If it had not worked before or you changed the firmware, the firmware should also be a suspect. The firmware can 'fail' when using the wrong thermistor type/table which can result in a very big offset or bad slope, resulting in wrong or unaccurate readings.