In this Vampyr Choices And Consequences Guide, we will guide you on how to make some choices in Vampyr. Vampyr offers an active world full of different NPCs, which can be fed upon.
However, every action you take in the game has its own consequences so we have curated this Vampyr Choices Guide for you so that it helps you decide what is right for you.
Below you will find answers to some of the most difficult choices that must be made in the game. The most important being feed to survive or make the world a better place.
Since you are a playing as a vampire in Vampyr, you will need to feed on people but each kill comes with a price and this price is hefty.
Vampyr Choices and Consequences
Feeding on NPCs is very lucrative because it makes you very powerful in the game. Certain abilities are only unlocked when you drink enough blood and these abilities are extremely useful while playing the game.
However, killing NPCs in Vampyr is not that simple, as each kill will alter the story, lock some content for you, remove certain vendors, hints, and investigations in the game.
To make this easier, we have detailed all the choices below so you can choose your choices accordingly.

Feeding on NPCs
The most important decision that you must make in Vampyr is whether you should feed on NPCs or not. Feeding on these NPCs is very lucrative because they give huge XP which is probably the most any activity in the game gives you.
This could range from several hundred to few thousand XP points. However, feeding on these NPCs may result in dire circumstances for you in the game.
The world of Vampyr is full of NPCs. These NPCs are not your traditional video game NPCs. Each NPC has a place in the world of Vampyr and they have detailed backstories and relationships with other NPCs of the world.
This means that feeding on an NPC will result in huge changes in the game.
When you feed on an NPC, they will be removed from the game forever. This means that any story linked with them, any missions, quests, or side activities will be gone forever.
If they are attached to the story at some point, it will be altered as well or that specific section of the story will be gone.
Sometimes it will remove hints or merchants from the game permanently. This shows that these NPCs can have a big impact on the game and you must always consider your options before feeding on an NPC.
This also affects the districts as with each NPC gone, the status of the district decreases by 5 that eventually leads to it being hostile status if you do not stop feeding on NPCs there.
If it is very important for you to feed on an NPC, we suggest that you avoid feeding on vendors, hospital staff, key story characters, and anyone that might give you hints in the future.
These people are vital to the game and they make your life in London very easy.
This does not mean that do not feed on NPCs at all. You can still feed on somewhat lower importance NPCs.
Make sure that the people you feed on are cured of diseases and you have unlocked all of their hints as this increases the blood that you get and give you an opportunity to unlock more skills and abilities.
Feeding on NPCs affects the health of the district. It could be Disinfected, Healthy, Stable, Serious, Critical and Hostile. It all depends on your feeding on the NPCs.
If you feed on too many NPCs, the health status of the district will continue to decline and it will eventually become hostile.
However, drinking blood of NPCs is not all bad. It is extremely good for and if you keep drinking their blood, you become stronger and powerful. If you are powerful enough, you will not need crafted items much.
You can delay feeding on NPCs for a later time in favor of the district.
Not Feeding on NPCs
As lucrative as it might seem to feed on NPCs, not feeding on them is a viable option as well. As mentioned above, feeding on NPCs removes them from the storyline alongside their parts of the story and the hints they might have given you about your being.
Not feeding on an NPC will allow you time to explore these hints and facts. For instance, by being a good doctor, you can communicate with the patient in Pembroke Hospital and inquire about your past. But be sure not set them off as some lines of conversations can keep them from revealing the full facts.
While you are up to being a good citizen, try hearing out the citizens worries. Some have lost their child, other their wallets. This way you can be a vigilante at night alongside a vampire and a doctor, solving your patients’ problems.
These investigations are Side Missions and quests that give a good reward on completion. Sometimes they even point to other citizens hints and lead you further on in your main quest.
Important Tips
- Obtain a one-handed weapon to use against foes. The reason for that is that a two-handed weapon is as efficient as a one-handed weapon i.e. you are unable to use your abilities with both hands occupied. Also, your character endures longer with a light weapon such as this. You can find a surgeon saw in Pembroke Hospital in a room on the top.
- Focus on the blood point weapon upgrades. In weapon upgrade, you will see some upgrades that give you blood points for hitting the target. Focus on these upgrades, so you can continually use your abilities in battle.
- Develop your self-healing ability. Jonathan the vampire has the astounding ability to heal himself after having been bit. Develop this ability to heal even during fights.
- Do not bite citizen you have not investigated. Try not to mess with the NPCs whose side stories you have not yet heard or from whom you have not yet taken any hints. Feeding on such NPCs gives you fewer points than taking hints from them and keeping them healthy. And then feed on them later on.
- Keep scavenging for the useful item. You can find several items on the streets and in houses that can be useful in crafting. Make it a habit to keep collecting whenever you are out. Note that some of the places have replenishable items, that is, you can get back there to get more items after having emptied before.
- Do events more frequently. If you see a pop up for an event nearby, take care of it as soon as you can. Otherwise, these can have devastating effects for the town.

Clay Cox
You encounter Clay Cox in chapter one of the game and you will need to make a choice with him. You can either release him, feed on him or save him for later.
If you release Clay Cox, you will eventually meet him later in the game where he will give you further missions. He will also give you some tips and an investigation.
If you choose to drink his blood, you will earn a lot of XP but Clay Cox will die instantly. This will remove his investigation from your playthrough and will decrease the district’s health.
We recommend that you release him at this stage, complete his investigation and listen to his tips. Once it is done and then feeds on him at a later stage.
Aloysius Dawson
You will meet Aloysius Dawson at a pillar near West End, during Chapter 5 ‘Fountain of Life’ mission. You will have three options to choose from. You can either charm him, turn him into a vampire or suck blood to kill him right away.
The best option here is to charm him, as he will leave his wealth to medical patients which will heal all the sick inhabitants of the districts.
Geoffrey McCullum
During Chapter 5 of Vampyr, you will start a mission called “And by The Sword you die”. Finally, you reach the top of Pembroke Hospital, where you will meet Geoffrey McCullum. You will have two choices to decide McCullum’s fate.
You can either spare him, which will make Geoffrey survive, or Turn him, which will transform him into a vampire. Sparing him is the good choice.
Edgar Swansea
You will meet Edgar Swansea during Chapter 5 ‘Science without conscience’ mission. You will have three options to choose from. You can either let him die, turn him into a vampire or suck blood to kill him right away.
The best option here is to turn him, which will save his life but turn him into a vampire. This decision does not block the good ending – you let Edgar to drink your blood instead of digging your fangs into his neck. You must spend 3,000 XP on this choice
Dorothy Crane
You will meet her in chapter two of the game and you will be required to choose her fate as well. You can either spare her, feed on her or charm her. If you decide to spare her, you can force her to give up on Lady Ashbury.
Dorothy will later sell the formula for 3rd tier medicines.
If you decide to feed on her, you will earn a lot of XP but since she can heal ill people, more people will fall ill in the district and its status will also decrease. You can also decide to charm her that makes her lose her mind.
If you charm her, she will vanish after the next night and becomes a level 24 Skal when you return to her facility. Kill her to get the key to her chest and get some new medicines.
Harvey Fiddick
He is a patient at the Pembroke Hospital who is awaiting surgery for a long time. The reason for all delays is the contradictions between two doctors, Dr. Thoreau Strickland and Dr. Waverley Ackroyd.
Like many other patients in the game, we have no control over his fate.
We can talk with both the doctors but this does not lead to any solid result and Harvey still has to wait on the two doctors to decide something about him. All you can do is find as many clues in the game and complete all investigations.
Nurse Crane
Nurse Crane is yet another NPC whose fate you will have to decide. At one point in the story, you will be required to either feed on her, spare her or convince her.
If you decide to feed her, you will gain a large amount of XP but you will have to wait to get some advanced medicine recipes.
If you decide to spare her, she will resign from the hospital but will stay in Whitechapel. You can buy different medicines and cures from her if you decide to spare her. Your last option is to convince her to stop blackmailing people.
For this, you must explore all of the dialogue branches with her. This convinces her to stay as a nurse at the hospital and stop blackmailing people as well.
However, this does not go as planned because a little time later, she is bitten by Skals and becomes one herself. You get much less XP for killing her in this state.
How to Unlock all Endings in Vampyr
The choices that you make throughout the game have consequences which lead to different types of endings. Your choices also shape up the type of person Jonathan will become. We have listed all the possible endings below.
Best Ending: Jonathan and Elisabeth leave the Castle for America
This is the best ending as Jonathan and Elisabeth collectively decide to leave the castle for America and find a cure for Elisabeth. Jonathan convinces Elisabeth to accompany him instead of throwing herself in the fire. The important thing to note is that he is only able to convince Elisabeth by telling her that he hasn’t killed a single person ever since his birth keeping intact his oath as a doctor.
In order to achieve this ending you must make sure that you don’t kill a single person in the game. You can still drain the blood of Skals.
Good Ending: Jonathan and Elisabeth lock themselves in the Castle
In this ending Jonathan stops Elisabeth from taking her life and both of them decide to lock themselves up in the Castle. They take this decision to create a cure for Elisabeth. A Skal friend of Jonathan, Old Bridget helps them take care of themselves during this time.
In order to achieve this ending you must kill only a few citizens. The safe limit is four citizens. Be mindful about not killing any citizens in London’s districts, no districts should go hostile.
Bad Ending: Elisabeth ends her life
This is a sad ending, Elisabeth doesn’t believe Jonathan’s words and jumps into the fire. Jonathan isolates himself and is stuck with grief for life.
In this ending, Elisabeth blames Jonathan for betraying her trust. The betrayal that she’s talking about is turning Aloysius into a Vampire. After Jonathan kills Doris Fletcher, Lord Redgrave recommends that he must turn Aloysius into a vampire. Elisabeth is against this because according to her Aloysius could turn out to be one of the worst vampires of all time.
Worst Ending: Elisabeth dies, Jonathan becomes a killer
In this ending Jonathan has become a despicable human as he does not try to save Elisabeth nor does he care when she dies.
For this ending, you must kill almost all the citizens and turn all districts hostile. You will achieve the ‘London’s burning’ trophy for doing so. You must embrace and kill most of the characters in the main questline and turn McCullum into a vampire.
After Elisabeth dies, Jonathan becomes a psychotic killer who goes on a murder spree.