Skyrim:The Only Cure
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 Quick Walkthrough
- (Optional) Meet with an Afflicted Refugee.
- Travel to the Shrine to Peryite.
- Gather items needed by Kesh the Clean to make incense.
- Inhale the incense fumes and speak to Peryite's apparition.
- Kill Orchendor in the Dwemer ruin Bthardamz.
- Return to the shrine for your reward.
 Detailed Walkthrough
 Escaped Afflicted
Once you have reached level 10, during your travels you may encounter an Afflicted Refugee who asks you to stop "ogling the grotesque". When asked about his unhealthy appearance, he will say he suffers from the plague and would have died years ago without Peryite's protection. Before continuing on his way to High Rock, he will point you to Kesh at the Shrine to Peryite for more information, adding an objective to your journal. The shrine is located in The Reach, far to the northeast of Markarth, a short walk northwest of Karthwasten, a little southwest of the Dragontooth Crater landmark.
 A Lonely Worshipper
Arriving at the shrine after being directed by the Afflicted Refugee, or simply finding the way on your own after level 12, you will notice the shrine is relatively humble, containing little more than a table holding the Speech skill book The Buying Game, a cooking pot, an Alchemy Lab, and an odd-looking golden cauldron. The only remaining worshipper of Peryite, Kesh the Clean, a Khajiit, wanders about the shrine, occasionally using its facilities. When you approach Kesh, he will be quite surprised to see another person at the remote shrine, "Ah, a wanderer, yes? No? Pilgrim, perhaps? Have you come to commune with Peryite, Taskmaster and blighted Lord?" He will then describe Peryite, "He is the pus in the wound. Oh, proper ones curl their noses, but it's pus that drinks foul humors and restores the blood. I worship Peryite, yes, because sometimes the world can only be cleansed by disease." When you ask for an audience with Peryite, Kesh will advise you that to gain one, some incense is needed and that creating this incense involves mixing four items in the cauldron, each of which you will need to supply.
 Crafting The Incense
Specifically, Kesh needs one of each of the following: Vampire Dust, a Silver Ingot, a Flawless Ruby and a Deathbell flower. While Kesh will recommend shops for the dust, mines for the silver and ruby, and the frozen tundra for the flower, he will warn you that obtaining vampire dust from Vampires can be very dangerous.
Note that if you already have some or all of these items in your inventory, you will have to drop them after Kesh tells you to collect them, and then pick them back up. Otherwise, the quest objective telling you to deliver the ingredients to Kesh will fail to appear.
- Flawless Ruby: Arguably the hardest of these items to obtain, as the standard way of doing so depends on randomly finding one while Mining. However, you can dependably pick one up from inside Shriekwind Bastion: Halfway through the dungeon, locate a blood-spattered room containing a single throne. Examine the floor near the unlit fire pit on the right for the ruby. The dungeon is inhabited by Vampires so you may as well obtain the Vampire Dust while you are there. Alternatively, you can find a Flawless Ruby on a remote, crashed boat which contains various gems (it can be hidden under one of the seats, so look around at all angles to make sure you find it). This is north of Reachwater Rock at a bend in the river there . Another dependable spot is inside the Jarl of Riften's bedroom, inside the Keep.
- Vampire Dust: If you intend to get the ruby from Shriekwind Bastion, slay one of its vampires for its dust while you're there. Otherwise, any vampire dungeon will do.
- Silver Ingot: To obtain this, follow Kesh's advice. Head east down the mountain from the shrine and locate the mining town of Karthwasten. Just outside the entrance to Fenn's Gulch Mine is a smelter with several silver ingots scattered around.
- Deathbell Flower: Deathbell can be found all over Skyrim, either as plants or as cuttings. The biggest concentration can be found in the Forelhost Refectory. The flower can be picked—or cuttings of it stolen—in and around Solitude, where they appear in abundance, including in the main trading room of Angeline's Aromatics and the teachers' rooms in the Bards College. Many of these flowers can also be harvested in the depths of Forsaken Crypt, and the swampy marshes north of Morthal teem with them. A quick way to get a deathbell is to travel to the Abandoned Shack, where there is a sample just outside the front door.
Once you have collected one of each item, a quest update will direct you to return to Kesh at the shrine. When you hand him the ingredients, he will head to the cauldron and prepare a mixture yielding fumes. He will then ask you to inhale deeply to summon Peryite. If you talk to Kesh before he finishes mixing, the next quest objective may fail to activate.
 Inhale Deeply
As soon as you inhale the fumes, a quick flash will give way to a surreal experience, with the world around you painted in misty deeply-saturated colors, and a few ghostly skeevers will appear. Peryite will then speak thusly, "Breathe deep, mortal. I would have you hear me well, so let these vapors fill your lungs." Asking Peryite if you were poisoned will elicit, "In a sense, but no more poisoned than a fool after too much wine." When asked what he wants he will explain, "I have watched you for some time, you know. The decisions you've made intrigues me, and I wonder if you are a proper agent for a task of mine. I sent a blessing to Mundus, a wasting plague that infected a scattering of Breton villages. One of my monks, the elf Orchendor, was sent to gather these Afflicted. He shepherded them into Bthardamz for me, but has since lost his way. I will not stand for betrayal. I want you to go to Bthardamz and Kill Orchendor, in my name." He will then disappear and the cauldron will be deactivated. Back in the real world, both Kesh and your map marker will point you to the Dwemer ruin of Bthardamz, easily reached by foot from the shrine. The ruin is expansive; you may wish to stock up on supplies before the lengthy trek through it.
The exterior area of Bthardamz is as huge as the ruin itself. Watch out for patrolling Afflicted and their poisonous vomit attacks. Locate the entrance, pull the handle to release the iron bars and head inside the introductory room for a bit of treasure. Finally, take a deep breath and enter the ruin itself, Bthardamz Upper District.
Upon entering, notice the many cauldrons with green fumes similar to the one back at the shrine. While these pose no threat, the Afflicted inhabiting the entire ruin will attack you on sight. Though their illness renders them weak individually, they are dangerous in groups. At the first intersection, either pick the lock on the gate to the north, or take the long way through a sleeping area and fight the opposition. A locked cage in the northeastern room contains a chest. Further north there are three Afflicted praying in a large room. If you approach in sneak mode, you can overhear them and learn about the mixture of despair and fanaticism among the Afflicted:
Afflicted (female): "Peryite, heed our call if you deem us worthy. Our leader, Orchendor, has led us here and for that we are thankful. He has shown us that our suffering is not a punishment, but a blessing."
Afflicted (male): "Yes, a blessing. For many months we have sought your guidance, yet we have heard nothing from you. If we do not please you, give us a sign so that we may understand why."
Afflicted (female): "Yes, a sign. We are lost without your guidance. On the ninth of Rain's Hand our prayers went unanswered, yet here we stand, not faltering in our belief that soon you will show yourself to us."
Afflicted (male): "Yes, show yourself to us. Until that day, we will continue to devote our lives to you and suffer for you."
Afflicted (female): "Yes, suffer for you."
Keep heading west until you reach a large chamber with four Afflicted. Release them from their pain and pull the handle on the northern ledge. This will lower the bars blocking your progress to the south and provide access to a cave-like structure with a treasure chest hidden underneath the entrance. At the next intersection, consider examining the room to the east, but beware of a surprise attack from two Dwarven Spheres. Take the southern path, avoiding the pressure plate that activates two swinging blade traps. The last room contains three Afflicted enemies and the entrance to the next zone, Bthardamz Workshop.
The workshop contains three entrances back to the first zone, Bthardamz Upper District. You will arrive from the eastern entrance to living quarters with two Afflicted, a mage and a melee fighter. You may witness a scene in which the melee fighter wakes up the mage, bringing orders from Orchendor:
Afflicted (melee): "I'm sorry to wake you, my Brother. I have a request from Orchendor."
Afflicted (mage): "Yes, what is it?"
Afflicted (melee): "He requests more barrels of ichor to be delivered to the Arcanex tomorrow."
Afflicted (mage): "This is the reason you wake me? I already have Orchendor's request taken care of."
Afflicted (melee): "I'm sorry my Brother."
Afflicted (mage): "Now leave me to my sleep. My strength and patience are waning."
Afflicted (melee): "Yes, my Brother. Forgive me. May the blessing of Peryite be with you."
Afflicted (mage): "Yes, yes, as with you. Now be off."
Further on you will have no choice but to go for one of the two southern entrances. Both of these are accessible from the huge southwestern chamber, which is guarded by three Dwarven Spider Workers. The door at the top of the stairs leads to a previously inaccessible area of the Upper District (you will be able to see the door you previously used from above), while the southernmost door (where the map marker leads you) takes you to the ground floor area of the previously inaccessible Upper District. Take a bit of time and explore the area and the rooftops, although only a limited amount of treasure can be found.
Optionally, you can locate the entrance to Bthardamz Dwelling. If you enter in sneak mode and wait a moment, you may hear the voice of a woman speaking softly. The Afflicted's monologue at her sleeping brother's bed will give you even more insight into the situation of Orchendor's followers:
"Are you asleep? I know you can't hear me, brother. I don't like what we've become. We've been here so long and what do we have to show for it? Orchendor promised a place where we would be accepted and taken care of. He promised Peryite would be present at all times and give us comfort in our suffering. Forgive me for saying this, brother, but I have not felt Peryite's presence. I want out. I want to leave this place. I long for the fresh air of the Reach. This place only makes us sicker. But who am I kidding, I know you wouldn't let me leave, brother. You truly believe in Orchendor and his promises. I know this place will eventually kill us. I have come to accept that. But I will always regret that day I introduced you to Orchendor."
Unlock the gate to access a chest and the Speech skill book Biography of the Wolf Queen before continuing on to the Upper District. Locate the set of stairs just northeast of the Dwelling entrance and proceed upwards, all the way to the ceiling, then enter Bthardamz Lower District.
 Lower District
Proceed forward to the first room and examine the cage for some minor loot. Fight two Dwarven Spiders in the corridor and enter a huge arena-like chamber with three Afflicted guards. Pull the lever and use the trap in the center of the room to your advantage, then take out any remaining enemies. Proceed east through another tunnel until you arrive in a multi-level chamber featuring numerous platforms and a small underground lake. Once again, climb all the way to the ceiling, where you will find the entrance to the final zone. Start by exploring the ground floor area, killing enemies sequentially if possible, otherwise they can easily group up on you. Locate the handle near the trap the northeastern passage, then head up the stairs. It soon becomes clear that you will need to take a detour to advance further, so locate the door to Bthardamz Study and enter.
The Study is more straightforward, so make your way through the rooms, looting a few treasure chests on your way. When it is time to climb the slope to the level above, beware of the swinging blade traps and the hostile Dwarven Sphere on the other side. Keep moving and eventually you will reach the door back to the Lower District.
You are now on the second level of the Lower District, so be careful not to fall down. You will be presented with multiple options, and the first two options pop up at the first intersection. Take a right and open the gate for a bit of loot, then head west and fight as many as four Afflicted enemies. Next up are two bridges leading up to a ledge with three Afflicted enemies. They are bound to detect you, so dispose of them, loot the chest near the tables, and continue down the path heading south. Eventually, you will land in a tunnel without any enemies and will be able to enter Bthardamz Arcanex, the lair of your target, Orchendor.
The Arcanex zone resembles the previous zone with its multiple levels, and is crawling with enemies, including Dwarven Spiders and Spheres. The water holds nothing of interest, so fight your way through the chamber and take the steep slope upstairs. Before entering the building-like structure below the ceiling, take a quick detour to the left for a bit of treasure, then face a Dwarven Centurion and a few Spiders—the last guardians before the final showdown against the treacherous Wood Elf.
Orchendor is a powerful Spellsword who knows several protective spells and magical barriers that increase his magic defenses to as high as 80%, making him a hard opponent for mages. He also knows Invisibility, Teleportation, and Ice Storm spells, and as an Afflicted he can use the toxic vomit attack as well. Loot his body once it is over for the elevator key, a boss-leveled amount of gold, the Alteration skill book Reality & Other Falsehoods and several other valuable items. Head to the upper level and locate the locked door, then enter for a chest and an elevator ride towards some much-needed fresh air. It's time to head back to Peryite for your reward.
Back at the shrine, Kesh continues to wander around aimlessly. Asking his permission to take another breath of the fumes will gain you entrance once again into the surreal world of Peryite, who will say, "Well done, mortal. All things are in their order, and Orchendor roams the Pits. His betrayal will be punished, and your obedience is rewarded." When you bid him farewell, he will hand you the Spellbreaker, a unique shield capable of protecting from both magic and sword. The cauldron will then be empty and you can do nothing but leave Kesh the Clean to his lonely existence at the Shrine to Peryite.
- None of the bodies will ever disappear as the entire dungeon does not respawn.
- Even after being re-animated, Orchendor will retain his immunity to fire, frost and shock magic and all of his spells. This, combined with his level cap, makes him one of the best targets for Dead Thrall.
- If you have accidentally killed Kesh before first talking to him, you can still begin the quest by having the required items in your inventory and activating the Cauldron. The potion will automatically mix and the quest will begin.
- After giving Kesh the ingredients, you can pickpocket him as he is stirring the cauldron to steal back the ingredients you just gave him.
- If you talk to Kesh while he is creating the incense, you may not get the next quest update. If this happens and you don't have an earlier save to reload to, try killing Kesh and looting the four ingredients back from his body. Once Kesh is dead, you should be able to activate the cauldron yourself and continue the quest as normal.
- Cancelling while talking to Peryite may cause you to get stuck when he is finished, as you cannot move or select anything once you have inhaled the incense.
- The compass indicator may not be pointing at the right door when moving from the Lower Section to the Study; it may appear off the map at a place that cannot be accessed. You should proceed as normal to the Study if confused by the compass.
- If you kill Orchendor as he is teleporting, his body may clip and be left in an unlootable state. This does not affect the quest, but will force you to take the long road home as he has the key to the elevator.
- Orchendor's body may vanish before you have a chance to loot the key.
- Peryite may not give you Spellbreaker upon completing the quest. This can be fixed by loading a previous save. This may be caused by asking Kesh for permission to commune with Peryite.
 Quest Stages
- The following empty quest stage was omitted from the first table: 1
- The following empty quest stages were omitted from the second table: 0, 1, 5, 30, 31, 45, 50, 80, 81