Who can help Karlach?

Stationed between Zevlor's chamber and the makeshift jail is a blacksmith named Dammon. He'll check on Karlach's heart and offer to help, but first he needs Infernal Iron, a rare metal that can be found throughout Faerun. Dammon can mark a nearby piece, but our handy guide can tell you How to Find Infernal Iron.
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Can anyone other than Dammon help Karlach?

It's imperative you don't kill Dammon during this Act as well, whether it be from slaughtering the Emerald Grove or accidentally starting a war where the druids and Tieflings kill each other, otherwise you'll be locked out of this quest, as he's the only person who can stabilize Karlach's Infernal Engine.
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Is it possible to fix a Karlach heart?

To repair Karlach's heart, return to Dammon with Karlach in the party. Karlach must install the upgrades herself, so this only works if Karlach is present. After the first upgrade, Karlach still feels hot, but not as much as before.
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Where to go to help Karlach?

The fiery Karlach will always be found in one place, which is near the Risen Road, which is in the northern part of the map at X:110, Y:499. If you've already recruited Wyll, his Companion Quest will lead you right to her.
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Is there anyway to save Karlach?

Depending on your choices, Wyll can sacrifice himself to save Karlach, though this comes at a great cost. Saves Karlach by sacrificing Wyll. If Wyll chooses to become the Blade of Avernus, he may gain the power to take Karlach to Avernus where she could potentially find a cure or a new existence.
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Baldurs Gate 3 - Why You Should KILL KARLACH (Devil's Advocate)

Can you still help Karlach if Dammon dies?

If Dammon dies, you won't meet another smith who is able to help Karlach for dozens more in-game hours — and we're currently unsure if you'll ever meet one again.
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What's the best ending for Karlach?

That was the best outcome for YOU. The true best ending for Karlach is to let her die. That is what she truly wants, and it is the only true freedom you can allow for her.
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Can you find Karlach without Wyll?

So, in the current version of the game, it's unfortunately impossible for players to game the system and recruit Karlach while avoiding Wyll's transformation.
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What happens if you don't fix Karlach's engine?

Let Karlach Burn Out

If you aren't able to repair her engine, you'll still get a chance to say goodbye, but you won't get a true ending scene with her. She will burn up without anyone in your party noticing or making a comment on it.
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Can you get both Wyll and Karlach?

An issue with recruiting both Karlach and Wyll is that the latter will be turned into a Devil by his patron, Mizora. This doesn't affect the game much, other than maybe making him unattractive to some players.
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What is the cure for Karlach?

As the game stands now, there is NO cure for Karlach. Going back to Avernus in order to stop her engine from burning up is akin to a person like myself having to change my lifestyle and/or location (to a different climate, or even having to move into a facility where my disease can be controlled, for example).
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How to permanently cool down Karlach?

Summary
  1. Use 'Create Water' spell to cool down Karlach temporarily.
  2. Throw water at Karlach or use cold damage spells.
  3. In Act 2, talk to Dammon to permanently cool her down.
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What happens if you let Karlach become a Mind Flayer?

Let Karlach become a mind flayer

Karlach becomes a Mind Flayer and eats Orpheus. It's unclear whether you need to have repaired Karlach with infernal iron fully to get this ending, but if Karlach is in your party when the Emperor explains about someone needing to become a Mind Flayer, she'll offer to do it.
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Can you touch Karlach?

You'll also discover that her condition means that anyone who touches her will burn, making it challenging to get close unless you know how to aid her. To find Karlach, you must first find Anders, who claims to be a Sworn Knight of Tyr.
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Do you see Karlach again if she leaves?

She just left, never to be seen again, same with Wyll or, I suppose, Gale if you fail to persuade him to stay. Bit disappointing. Was hoping your former companions would return as adversaries in a later chapter. You must search high and low.
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Can you sleep with Karlach and Astarion?

No, but you can sleep with astarion and helsin at the same time. Next best thing, right? Karlach is monogamous. She doesn't take to polyamory at all and an easy way to seriously upset her is to sleep with someone else after you get the Act 2 relationship scene done.
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Can you permanently fix Karlach's heart?

Across the game, we're able to repair her heart enough that existence is no longer painful (which in turn allows her to be touched, and with it, romanced), but it's a temporary fix. The game, and Karlach herself, makes it very clear that she is still dying, and fast.
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What do you get for killing Karlach?

Killing Karlach

After a long rest, Wyll is visited by his patron, who reveals that she was less truthful when sending Wyll to kill Karlach. She also rewards Wyll with an Infernal Robe, a cloth armor that can be very useful with the right Eldritch Invocations.
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Should you let Karlach go to Avernus?

If you get Wyll (and/or yourself) to go with her then the Avernus ending is the best outcome. She was against going back to Avernus because she knew the moment she did Zariel would snatch her back up and force her back into service. However if she's going there with friends with her she should be fine.
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Why can't I find Karlach BG3?

Karlach is simply sitting on a rock at the end of the path known as the Risen Road, while Anders and his warriors are in the abandoned Tollhouse in the ruined town North of her.
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Can Karlach be romanced?

How to Romance Karlach in Act 3. Once you get to the Lower City in Baldur's Gate, if your approval is high enough with Karlach, you'll get the option to speak to her in camp, like normal. She'll invite you out to a date in the city. Choose to accept and head to your date spot.
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How to revive Karlach?

You'll want to do this without Wyll in the party. Next, return to camp and tell Wyll you've done the deed. Afterward, go back to Karlach's body and use a Scroll of Revivify to bring her back to life. Be sure to raise her as far from the party as you can so she doesn't notice you were there.
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Can Karlach become a mind flayer if you free Orpheus?

Let Karlach Become a Mind Flayer

Make sure Karlach is in your active party when you go to the Morphic Pool. Later, once you talk to the Emperor, select: "Would I be able to wield..." or "I don't care about Orpheus..." Karlach will suggest that she could become a Mind Flayer instead.
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Will Larian give Karlach a better ending?

The fifth major update for Baldur's Gate 3 introduces a new epilogue, giving a happy ending to character Karlach. Karlach's initial endings in the game lacked a "good" option, but the new epilogue provides an optimistic conclusion for her story.
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Will Karlach leave if you side with Gortash?

She likely won't leave the party outright unless her affinity is already very low, but taking Gortash's side could hurt the chances of romancing Karlach in Baldur's Gate 3. Wyll is also personally invested in Gortash's goings-on, as the lord has his father, the Duke of Ravengard, captive.
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