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I've tracked Iselmyr's essence throughout the exchange. She had a particularly high density index during the most heated portions of their argument, and her essence seemed to localize most clearly in the lower portion of the subject's left ribcage. That's right around the spleen, which, of course, means that she is triggered by black bile. No doubt the subject's characteristic melancholy is to blame.
That's utter horseshit.
~ Bellasege and Aloth

Two-Sided is a side quest, and companion quest for Aloth in Pillars of Eternity. It is obtained after completing Never Far from the Queen by speaking with Aloth.


Items in italics are quoted directly from the game.
Aloth revealed that an Awakened soul, Iselmyr, dwells within him. He's asked for help in finding an expert who understands his predicament.


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After witnessing enough of Aloth's "episodes", he will come clean, explaining that his soul was also awakened, similar to the watchers. His awakening however, is a presence named Iselmyr that shares his body and manifests from time to time to voice her opinions. Aloth has a great deal of trouble attempting to suppress her. He then says that he has heard there is an expert on awakenings in defiance bay, and that maybe they could help him control these "outbursts", starting the quest.

The player must then travel to the Brackenbury district, enter the Sanitarium, and head downstairs. You may also talk to Head Warden Ethelmoer first and ask him if he knows anyone that could help. At which point he directs the player to head downstairs.

The player must then talk to Bellasege, who complains about not having enough test subjects to study on awakenings. The player can then volunteer Aloth, despite his hesitancy. Bellasege sits Aloth down and attaches copper wrist and head bands to him and uses a special type of magnifying glass to see Aloth's soul. If Edér is present, he will comment on wanting to talk to Iselmyr again. Bellasege states that in order to draw out the 'interloper,' Aloth must answer personal questions, and he does so to his reluctance. However, after talking about his memories, he enters a trance-like state, requiring the player to wake him up. After doing so, Iselmyr starts talking. Bellasege states that she is seeing a change in the soul, and tells you to keep Iselmyr present so she can study it. After a few dialogue exchanges, Bellasege discovers that Iselmyr is located around the spleen, and manifests when it produces Black Bile, which is a result of Aloth's melancholy, to which Aloth/Iselmyr responds: "That's utter horseshit." The player can then deduce that Iselmyr manifests when there are potential sources of danger for Aloth. The player then decides whether Iselmyr's interference is helpful or a hindrance. This choice adds to Aloth's attitude, which determines his ending.

You can't let her make these decisions for you. → Lose Iselmyr's favor and increase Aloth's stance on authority.
I think she's trying to help you stand up for yourself. → Gain Iselmyr's favor and increase Aloth's stance on autonomy.
It's not clear yet whether this is a help or hindrance. → No change to Iselmyr's favor or Aloth's attitude.

Bellasege then thanks Aloth for his help and states that she will publish her findings, to Iselmyr's distaste. As a result, Aloth and Iselmyr both conclude that they don't want their personal lives published, and attempt to steal Bellasege's notes. The player can either allow Aloth to steal the notes, stay neutral, or tell him not to, concluding the quest.


  • This quest fails after the meeting with the duc during the main quest The Hermit of Hadret House, if you haven't completed the first objective.
  • Aloth mentions that he has none of the memories of Iselmyr, and that judging by her accent and dialect, she is from much further in the past.
  • Aloth mentions that when you first saw him having an argument with the villagers of The Gilded Vale, it was because of Iselmyr.



ID Objectives
0 Two-Sided
10000 Aloth revealed that an Awakened soul, Iselmyr, dwells within him. He's asked for help in finding an expert who understands his predicament.
1 Find an expert on Awakenings somewhere in Defiance Bay.
10001 Aloth mentioned that Defiance Bay has an entire institution devoted to the study of illnesses of the soul. This must be the same place that I saw in the Acolyte's vision.

I may be able to find someone there who knows something about Awakened souls.

20001 It appears that Brackenbury Sanitarium is our best hope of finding help for Aloth.
20000 I've been told to look for someone named Bellasege. She works on the lower floor of the sanitarium.
20002 I'm ready to attend the duc's animancy hearing. If I'm going to help Aloth deal with Iselmyr, I should probably take him to find this expert at the sanitarium first. It's unclear how these hearings will affect the practice of animancy in Defiance Bay.
End states
Yes Pro-Iselmyr
30000 After hearing about how Iselmyr stood up to Aloth's abusive father, I suggested that she may be more helpful than Aloth realizes. He acted skeptical, but I believe he's giving the matter some thought.
Yes Anti-Iselmyr
30001 After hearing about how Iselmyr takes control during delicate situations, I advised Aloth to be wary of her. He shouldn't give control to anyone else, not even a part of his soul. He seemed to agree.
Yes Ambivalent
30002 It seems that Iselmyr can be a source of both help and harm to Aloth. On the one hand, she steps in when he's under pressure, but on the other hand, she doesn't always resolve situations the way he'd like.
30003 We didn't find an animancer with the expertise Aloth needed. He'll just have to deal with this on his own.