Kill or Spare Village of Kausos - AC Odyssey Blood Fever Quest

Kill or Spare the villagers of Kausos is the major dilemma in the Assassin’s Creed Odyssey Blood Fever side quest. The moral choice in the Village of Kausos is whether to kill a family that’s likely infected with the plague, or spare them and risk the sickness spreading from Kausos to the rest of Kephallonia Island. Since this can end up being a pretty major decision, our AC Odyssey kill or spare villagers guide for Blood Fever quest is going to give you some pointers as to how to solve it.

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AC Odyssey Blood Fever Quest Kill or Spare Village of Kausos
AC Odyssey Blood Fever Quest Kill or Spare Village of Kausos

Kill or Spare Plague Villagers of Kausos – What to do in AC Odyssey Blood Fever Quest?

Whether you’ll spare or kill sick villagers of Kausos is a pretty tough moral dilemma. That being the case, SPOILER WARNING from here on out. The priest will assure you that the villagers begging for mercy are sick, and they will spread the plague further. The villagers don’t exactly help their case when they accidentally mention that they only have a bit of a cough. So, this is your choice: kill the defenseless villagers and their children, or risk the plague spreading further.


If you choose “Let these people go” you’ll first get into combat. After you kill the priest and his soldiers, you’ll be prompted to talk to the sick villagers. Here, you will get some further ominous clues, such as them telling you that they feel good enough to travel. You can then either take their money or leave it with them. If you take the money, they will stay put. If you don’t they will leave and try to find a cure. Unfortunately, whichever you choose, it seems to have the same effect. A few hours and quests later, when you return to Kephallonia, you’ll find it ravaged by the plague. Whoopsie.

If you choose “I have no say in this” then you’ve doomed the innocent family and their kids. To be frank, we didn’t have the heart to do this. However, even though they’re dead, you’ve halted the spread of the plague. At least, for the time being. Pray to all the gods of Olympus that it doesn’t spread regardless.

How to start Blood Fever Quest in AC Odyssey?

Blood Fever is a side quest in AC Odyssey. You can pick it up from your little friend Phoibe in Markos’s Vineyard, an area you’ll quickly be familiar with. We got it during the Eye for an Eye quest. Phoibe will tell you about the curse that has befallen the village of Kausos, and send you on your way. From there, all you have to do is track the quest, and it will take you to Kausos. The town is southwest from Mount Ainos, pretty close by the Vineyard.

If you’re having trouble with something else in the game, you can check out some of our other Assassin’s Creed Odyssey guides, including Ancient Tablet Locations, Ainigmata Ostraka Locations & Riddle Solutions, and others.

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A language teacher and video game enthusiast turned rogue, Joe is on a quest to become the ultimate gaming journalist. This is somewhat hampered by his belief that the golden age of gaming ended with the PlayStation One, but he doesn't let that stop him. His favorite games include Soul Reaver and Undertale. Other interests are D'n'D, dad rock, complaining about movies, and being the self-appointed office funny man, which nobody else agrees with.

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38 COMMENTS

  1. C
    Chase

    I left the island before I accepted the quest will i still be able to do it?

  2. O
    Odd

    First time out, I accidentally killed the priest!
    (it was late, I was tired, and my reflexes took over…what can I say?)
    Later, I discover the disease had spread…although I’ve not gone back to Kephallonia on that save.

    On my second run, I let the priest do his duty.
    That seemed the best option, and even when Phoibe runs up, you can convince her it’s for the best.
    What I did find of interest is that, if you come back a little later, the parent’s bodies are there, but there’s no sign of the children.
    I wonder if they escaped, or the priest took them?

  3. O
    Orion

    I think the best way to look at this quest is the exact position the player is in during the quest. When you arrive the village is already burnt and 95% of the people are dead, (I did find a few other survivors) and you find the priest responsible. At this time the character doesn’t actually know the consequences of letting them live, only the priest suggestion they might spread the disease. I don’t think it’s unreasonable to imagine the character bring sceptical of the priests authority, and also letting them leave doesn’t rule out the possiblity of quarantine or studying the disease if there is a doctor or healer on the island. Quests like these, especially if I know the outcome, I like to play as if the character does NOT know the exact outcome, and is going off what he knows at the moment. Also I like the idea of young alexios walking away from the experience learning that sometimes doing a good thing has questionable consequences, rather than him killing (or allowing) a family on the chance it would prevent further outbreak. This is a great quest, but although it is relevant to covid right now, I think it’s more of a reminder of how humans potentially dealt with problems like this In history.

    1. T
      Ttruhwulf

      Since AC Odyssey is loosely based in actual history, I choose to believe that killing the family would only slow the sickness. Besides, both your character and Phiobe come into contact with them (Phiobe being the girl’s playmate and all) and neither one gets the blood fever. It could have been a person the priest kills later that then wouldn’t get a chance too as well.

  4. R
    RHerson

    ok…so yeah it is theoretically a tough choice sure. What makes it a much easier choice for me is when I remember that it IS just a video game and therefore they are not real people lol. I will say this though…that its a testament to what a great game it is that many people still get wrapped up in the dilemma as if they WERE real people. Simply put, it is a lose lose situation. Save the family, more people die, oracle reprimands you. Kill the family, Phoebe gets mad and the oracle still reprimands you but the sickness is contained. Do as your gamer conscious dictates. ?

    1. S
      Sierra

      Thank god you answer I been reading Comments to see if it spreads regardless of me killing them or letting them live.

      So they die…coo

  5. A
    Anatolie

    I’ve condemned the family to death in my choice after finding out the plague would spread across Kephallonia, then later when there’s the quest in speaking to the Oracle she states ‘’ you’ve let an unknown sickness cloud your mind and an innocent family in Kausos (that same village in Kephallonia) died for it’’ or something like that, after pressing the ‘’where’s my mother?” option. I reckon if you follow the family after letting them keep the money and tracking their path you’ll find the plague culprits, maybe kill them? I’ll restart and do that 😛

  6. S
    Sc0ttishGamer88

    so what is the best plan of action, dose the plague spread no matter what? I don’t care about the moral stuff, its just a game. someone mentioned it spreads to attika, is there any down sides that effect the player?

    1. J
      JoeTheBard

      As far as we can tell, it really doesn’t matter what you choose.

  7. T
    Tai

    How did no one have the heart to kill those people? I did that on my first play through. Somehow I got almost every single thing right. You guys are all soft hearted.

    1. T
      TabMan

      It’s not really a ‘right’ thing. If you kill the family, the plague still spreads. You just kill innocents for no reason. Your action has no outcome other than whether you want to kill some priests that murdered a bunch of sick people, or children.

  8. I knew they would spread the fever. My decision was more like “Not only is this not my problem they’ll probably be stupid and get more people sick.” Because the people who deny their sick are always the assholes who spread it across countries and that. So, it was an easy choice for me. Sure I would have one family blood on my hand but it probably saved more people in the long run. That was my reasoning though I never knew 100% if they’d spread it if I let them live when I made that decision.

    1. A
      Aj

      You were supposed to talk to Phoibe to start the mission. She tells you her friend is sick and if you can save them. When you get there the priest tells you he’s going to kill off the disease forfeiting the family’s lives. Or you can save the family

    2. D
      DS

      “the people who deny their sick are always the assholes who spread it across countries” This comment aged well.

      1. C
        Coyster

        Played this game during the COVID-19 pandemic. Oh what a weird, crazy times we live on.

      2. M
        Matt

        Exactly what i was thinking

  9. N
    NekoNekoNation

    Crookback bog flashback 🙁

  10. N
    N

    I think I missed a lot of this quest. I stumbled upon some priests harassing folks around a burned out village, and I decided to kill the priests without talking to them. Soon after I found the family, and along with Phoebe they thanked me and I finished the quest. I don’t remember talk about a disease.

  11. A
    Artemis

    Just to clarify for the people who have asked about what the disease is in the Blood Fever quest, it is malaria, a parasite that hides in your blood cells and gives you a high fever which ends up killing you. If you go to the history landmark in Kausos Village, kausos is a word for fever and it tells you that in real history (not the game), there was a spread of malaria in greece during that time. They don’t tell you the name of the disease because that is something you have to figure out with the history landmark they explicitly left on the Village of Kausos. They called it Blood Fever based on the signs and symptoms of malaria.

    1. J
      Jerri

      Actually if you research it a bit you’ll find that it was typhoid fever. Typhoid swept through Ancient Greece at the same time that AC Odyssey takes place, and eventually spread into Athens and killed Pericles.

  12. Z
    Zadi

    I opted to save them & let them keep their money. Later in the game you get word that the entire island is overrun with a plague. You’ll also find out that the plague has spread and hits Atticka the hardest when you eventually return to Athens.

    My second play is with Kassandra and I’m opting not to save them.

  13. I
    Ian

    When you talk to the oracle, she seems to imply that the family was innocent – although i guess innocent doesn’t mean they weren’t sick. I wonder what the oracle says if you saved the family?

    1. J
      J

      Dont remember the exact words but she talks about how you let the plague take the island so if you choose to kill them its implied they may not of been sick but if you save them they are sick

      1. G
        Grammar police

        It’s “they may not HAVE” not “may not of”

        1. S
          Saïx

          It’s not that serious

          1. A
            Adam

            What a time to be playing this quest when the world is dealing with something very similar for the Corona.

        2. L
          LilMack

          Grammer Nazi

    2. J
      Josh

      She talks down to you for killing off the island

  14. D
    Derek

    I really hoped they would go to such lengths with the consequences…….though that means I have to let this family die…..
    Best game 10/10

    1. F
      Fahad

      If your honest with the girl after you slaughter the family she excepts it option 3 and 3. Not sure what is said if you choose the other option. But given the historic events that did take place it seemed only correct to take the steps that they would have done to protect the others. Guess it boils down to the good of the many vrs the good of the few. Actually its ironic if you really think about it. With the all of the talk about getting children vaccinated against common diseases. Not going to share my incite into that not the time place or platform however I would have chosen to kill the family in real life as well as the game.

      1. R
        Rick

        Thank God you’ll never be in that kind of position of power. You can’t even spell ‘insight’ correctly and you think you’re going to be some ‘savior’ of the many?

        Your IQ must be low from the ajuvants in those vaccines you love.

        1. J
          JoeTheBard

          You misspelled “adjuvants”

          1. B
            babvi

            best comment LOL

        2. R
          Randy

          Talking shit to someone over a video game… I’m clapping for you bud

          1. M
            Mike

            You talked shit first.
            I quote,
            “Thank God you’ll never be in that kind of position of power. You can’t even spell ‘insight’ correctly and you think you’re going to be some ‘savior’ of the many?

            Your IQ must be low from the ajuvants in those vaccines you love.”

          2. E
            Ed

            Randy is not the same as Rick…. i don’t know how he made that mistake

          3. J
            Josh

            LoL! (´༎ຶٹ༎ຶ`)
            What a joke, peope are something else all over a game.. Attitude, borderline disrespect, and just negativity.. You know what they say, misery loves company! Haha..
            (☞ ͡° ͜ʖ ͡°)☞ ~~㋛ Ricky Bobby my boy!
            Anyway, I agree with Fahad though through and through. He’s right. Those are actual choices that have to be made and its a trip how they threw that kind of curve ball at you. Its a really messed up and super sucky decision but tbh if it was to save thousands of people, then yeah I would make the same move, IRL.