In fanfiction, if Naruto got the Sharingan from Madara, it would completely change his power dynamic. He would gain the abilities of the Sharingan like enhanced perception, the ability to copy jutsu more easily, and perhaps even access to some of Madara's unique Sharingan - based techniques. This would make him an even more formidable opponent and could potentially change the entire plot of the Naruto universe within the fanfiction world.
In some fanfictions, it could be through a divine intervention by Kami. Maybe Kami sees Naruto's pure heart and his need for more power to protect the village. So, Kami decides to bestow upon Naruto the power of Madara's Sharingan as a way to give him an edge in battles against powerful foes.
In fanfiction, it could be due to a strange encounter with a magical or ancient artifact. This artifact has the power to transfer the Sharingan's essence from Madara to Naruto. It might be a relic from an ancient battle between the Uchiha and some other powerful force, and when Naruto and Madara come into contact with it, the transfer occurs.
One possible fanfiction could be about a young ninja who discovers he has a special connection to Madara's Sharingan. Maybe he inherits some of Madara's latent powers through a mysterious family link. This could lead to him being hunted by those who want to use his power for evil or by those who fear it.
In some fanfictions, it could be through a special jutsu or ritual. Maybe Itachi, before his death, transferred his Sharingan to Naruto in a unique way, perhaps using a forbidden technique that was known only to a few in the Uchiha clan.
In some fan theories, it could be due to a unique chakra interaction. Maybe the Kyuubi's powerful chakra somehow mutates Naruto's own ocular abilities and triggers the emergence of the Sharingan. But this is just a wild fanfiction idea.
In some fanfictions, it could be due to a special jutsu gone wrong. Maybe a jutsu that Kakashi was using to transfer some of his chakra to Naruto for a mission accidentally transferred his Sharingan power as well.
In some fanfictions, it could be through a strange and powerful jutsu transfer. Maybe Madara, on the verge of defeat, decides to transfer his Rinnegan power to Naruto for some unforeseen reason, like seeing a new path for the ninja world in Naruto.
It could have a huge impact on the balance of power in the ninja world. With Naruto having Madara's Sharingan, other villages might become more cautious or even hostile towards Konoha. This would lead to new political situations and alliances. Moreover, Naruto's training and growth would take a new direction. He would need to learn how to combine his existing abilities with the new powers of the Sharingan, which would be a complex and interesting process to explore in the fanfiction.