It's easy to see why someone would be conflicted over Raphael's deal in . He makes a lot of big promises: he can fulfill the party's wildest dreams, he can help Astarion finish his personal quest to undermine his former master, and, perhaps most importantly, he says he can cure Tav of their parasitic tadpole. Raphael's is one of many cures dangled in front of the party throughout the game, which vary greatly both in efficacy and veracity. While it quickly becomes pretty clear that Auntie Ethel's help isn't all that she promises in , Raphael's confidence and apparent power make his deal sound more tempting.
[Warning: This article contains spoilers for a possible ending of Baldur's Gate 3.]
Raphael is a little suspicious from the start, but he doesn't waste time in revealing his true identity. Raphael is a cambion, a half-fiend creature born of an unholy union between human and devil. However, his honesty adds to his credibility, and what he wants out of the deal doesn't seem like such a big ask. In return for curing the party's deadly ailment, which will eventually and irreversibly turn them all into mind flayers, all he wants is the Crown of Karsus that sits atop the Elder Brain. Still, something nags at the player, and their companions remind them that fiends are not to be trusted.
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The most immediate effect of accepting Raphael's deal is that every member of the core party disapproves. Tav loses affinity with Astarion, Gale, Karlach, Lae'zel, Shadowheart, and Wyll if they take Raphael up on his offer. This isn't the worst of all possible outcomes, though. It is possible to regain some of that affinity later, but romance requires work in , and every point counts in the
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