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Hello everyone! Here is the Second Half of the guide. I hope everyone enjoys the guide and please let me know if you have any suggestions, fixes or feedback!

First Half

WARNING: SPOILERS AHEAD

Quest Cleanup Nepheli/Dung EateSeluvis

Note: You can complete Seluvis' Quest by giving the potion to Nepheli, but this guide will follow the path that gives the most rewards, specifically 2 Ancient Smithing Stones and a Puppet vs just a Puppet. This path will lock out one of the game's endings, but it's an ending that isn't required for an Achievement.

• From the Fallen Ruins of the Lake Grace: Head West to talk with Varre and receive the Lord of Blood's Favor.
• From the Foot of the Four Belfries Grace: Head North-East up to the top of the mountain and grab the Four Belfries Grace.
• Open the chest nearby to get an Imbued Sword Key.
• Use the Imp Statue North-East that has the message "Precipice of Anticipation" written nearby.
• Enter the portal to reach the Chapel of Anticipation.
• Kill the boss if you didn't at the start of the game.
• Head South across the bridge and up the stairs.
• Enter the small doorway to the North-West to grab The Stormhawk King
• Go into the building and jump down then interact with the dead finger maiden to dye the Lord of Blood's Favor.
• From the Fallen Ruins of the Lake Grace: Head West to talk with Varre and receive the Bloody Finger.
• Talk with Varre again to receive the Pureblood Knight's Medal
• Use the Pureblood Knight's Medal to enter Mohgwyn Dynasty Mausoleum
• Head South-West to grab the Dynasty Mausoleum Entrance Grace
• Follow the path South up the stairs and proceed as desired until you grab the Dynasty Mausoleum Midpoint Grace on the other end of the cave.
• Go back into the cave and Invade White Mask Varre
• Talk with Varre to receive Varre's Bouquet
• From the Roundtable Hold: Talk with the Finger Reader and purchase Radahn's Lion Armor from her.
• Go into the room past the Twin Maiden Husks to talk with the Dung-Eater and exhaust his dialogue to receive the Sewer-Gaol Key
• Head down the stairs past Blacksmith Hewg and talk with Nepheli.
• Talk with Gideon about Nepheli
• Return to Nepheli to exhaust her dialogue and give her The Stormhawk King. Be careful not to click too fast or you could accidentally give her the potion instead.
• From the Godrick the Grafted Grace: Rest at the grace, then rest at it again(Gostoc will disappear)
• Go North-West and talk with Nepheli to receive Ancient Dragon Smithing Stone
• Talk with Gostoc nearby to have access to purchase another Ancient Dragon Smithing Stone.
• From the Avenue Balcony Grace: Go down the stairs then jump over the railing to the West onto the roof.
• Jump down and go around the building to the North-West to find a well.
• Go down the well and continue forward until you grab the Underground Roadside Grace.
• Leave the room and go North to jump down the hole on the left to enter a sewer tunnel filled with rats.
• Follow the path North-West then South-West past the rats and flowers to climb the ladder.
• Open the cell and talk with Dung-Eater to release him.
• From the Outer Wall Battleground Grace: Head South-East up the stairs and keep heading East past the graveyard.
• Follow the road South-East down the slope to the pond.
• Head West to the other side of the pond and talk with Blackguard Big Boggart to buy a Boiled Crab and exhaust his dialogue.
• Reload and talk with Blackguard Big Boggart again to receive Iron Ball and Blackguard's Iron Mask
• Kill the Dung Eater Invader for the Sword of Milos.
• From the Roundtable Hold: Talk with the Dung-Eater and exhaust his dialogue.
• From the Underground Roadside Grace: Follow the same path as before to the cell where you found the Dung-Eater.
• Talk with the Dung-Eater to Administer Seluvis's Potion. Again, be careful not to click too fast or you could give him the Seedbed Curse.
• Once you are no longer able to talk with him, kill him to receive the Omen Armor Set. You will still have access to the puppet.
• From Ranni's Rise Grace: Head South-East to Seluvis's Rise and talk with Seluvis. You can now learn Sorcery from him.
• Talk with him about his chambers and choose the Jarwight Puppet as it is the more expensive of the 2.
• Reload and talk with him then reload and talk with him again to purchase Finger Maiden Therolina Puppet.
• Talk with him again to ask about his scheme and give him the Amber Starlight Shard.
• Talk with him again to receive the Magic Scorpion Charm

Quest Cleanup Rennala/Sellen/Boc/Fia/Ranni

• From Ranni's Rise: Go up the lift and talk with Ranni to give her the Fingerslayer Blade and receive the Carian Inverted Statue.
• From Royal Moongazing Grounds: Head North-West to Renna's Rise and go up the ladder to grab the Snow Witch Armor Set from the chest behind you.
• Continue up to use the portal and grab the Miniature Ranni from the coffin in front of you.
• Go South and grab the Ainsel River Main Grace
• Rest at the Grace and talk to the miniature Ranni 3 times.
• Follow the path South-West and stick to the river then through the doorway of the building to grab the Nokstella, Eternal City Grace
• Continue following the river West to find the lift in the final building on the left.
• Take the lift down to grab the Nokstella Waterfall Basin Grace
• Go through the small tunnel South-West to kill the Baleful Shadow and receive the Discarded Palace Key
• Continue through the doorway South-West and take the lift down to grab the Lake of Rot Shoreside Grace
• Proceed across the Lake of Rot as desired to the far South-West and grab the Grand Cloister Grace.
• From the Agheel Lake South Grace: Follow the road North and into the basement of the Waypoint Ruins to kill the Mad Pumpkin Head boss.
• Grab the Waypoint Ruins Cellar Grace
• Open the nearby door and ask to learn Sorcery from Sellen
• Show Azur's sorcery to Sellen, ask for her story and journey together with her.
• Talk to Sellen about her favor to receive the Sellian Sealbreaker
• From the Church of the Plague Grace: Head North-East up the slope and attack the illusory wall behind the large grave to reveal a cave
• Grab the Sellia Hideaway Grace
• Proceed through the cave as desired and interact with the seal at the bottom of the crevice.
• Talk with Lusat to receive the Stars of Ruin
• From the Waypoint Ruins Cellar: Talk with Sellen and tell her Lusat's location to receive a Starlight Shard.
• Talk with Sellen about her request.
• From the Bridge of Sacrifice Grace: Head West over the rocks and follow along the edge of the forest going very far West to the cliffs just past the ruins.
• Make your way up the cliffs, going North when possible to find the church and grab the Church of Pilgrimage Grace.
• Head far South-West, past the ruins and the evergaol to find the second church and grab the Fourth Church of Marika Grace.
• Go South and enter the basement of the Witchbane Ruins to talk with Sellen and receive Sellen's Primal Glintstone then exhaust her dialogue.
• Reload and talk with Jerren
• From Ranni's Rise: Head North-East into the basement of the ruins where you found Seluvis' puppets and interact with Sellen to give her Sellen's Primal Glintstone.
• From the Raya Lucaria Grand Library Grace: Open the chest nearby to receive the Dark Moon Ring
• Talk with Rennala and buy a rebirth to receive the Balled Up Emote.
• Go through the doors South-East and pick a sign to use. This guide will assume Sellen's as it offers more rewards and has extra steps to complete but if you choose to help Jerren, kill him afterwards for his armor.
• Defeat Jerren to receive the Eccentric's Armor Set
• Talk with Sellen to receive the Glintstone Kris and purchase Shard Spiral from her.
• Reload and grab the Witch's Glintstone Crown from nearby
• Head South-East through the doors and down the elevator
• Continue South-East into the other building and use the portal North-East to grab the Church of Vows Grace
• Open the chest in the church to receive the Gold Sewing Needle and the Golden Tailoring Tools
• Talk with Miriel nearby and give him the Golden Order Principia
• Purchase the Law of Regression from Miriel
• Follow the road East, then South-East to grab the Eastern Tableland Grace
• Continue following the road South to grab the Study Hall Entrance Grace
• Use the Carian Inverted Statue on the altar.
• Proceed through the Carian Study Hall as desired to grab the Liurnia Tower Bridge Grace
• Head East across the bridge to kill the Godskin Noble and receive the Godskin Noble Armor Set
• Continue East through the doors and up the lift to grab the Divine Tower of Liurnia Grace
• Go up the stairs and grab the Cursemark of Death and Stargazer Heirloom
• From the Primeval Sorcerer Azur Grace: Grab the Azur Armor Set from where you found him
• From the Sellia Hideaway Grace: Grab the Lusat Armor Set from where you found him
• From the East Capital Rampart Grace: Talk with Boc and exhaust his dialogue to give him the Gold Sewing Needle.
• Talk to Boc about his favor and grant his request to receive the My Lord Emote
• From the Prince of Death's Throne Grace: Talk with Fia and ask her to hold you
• Talk with Fia as she holds you to give her the Cursemark of Death and receive the Radiant Baldachin's Blessing then keep talking with Fia to exhaust her dialogue
• Reload and talk with her again
• Reload once more and interact with her to kill the Lichdragon Fortissax.
• Grab the Mending Rune of the Death-Prince from Fia.
• Reload to grab Fia's Armor Set
• Kill D, Beholder of Death to retrieve the Twinned Armor Set you lent him and take Inseparable Sword as interest.
• From the Grand Cloister Grace: Make your way down South-West to use the coffin
• Kill Astel, Naturalborn of the Void and grab the Grace.
• Head North-East into the tunnel and use the lift to grab the Moonlight Altar Grace
• Follow the road North-East to the cathedral and grab the Cathedral of Manus Celes Grace.
• Grab all of the Starlight Shards nearby for later.
• Drop down into the hole and give Ranni the ring.
• Talk with Ranni to receive the Dark Moon Greatsword.
• From the Ranni's Rise Grace: Head outside and defeat Blaidd to receive Blaidd's Armor Set and the Royal Greatsword.
• Go South to Seluvis's Rise to grab the Preceptor Set and purchase the Dung Eater Puppet from Seluvis's corpse
• Follow the cliff East and hop down to the bottom to find Pidia and receive the Dolores the Sleeping Arrow Puppet.
• From the Road to the Manor Grace: Talk with Iji and tell him of Blaidd's death.
• Reload to grab Iji's Mirrorhelm

Intelligence Required

Make sure to have the capability to get at least 37 Intelligence, even if just temporary. You can buff to this much even at 7 Intelligence, which is the lowest possible from Starting Class. Intelligence Boosts:

• Intelligence-knot Crystal Tear +10
• Twinsage Glintstone Crown +6
• Stargazer Heirloom +5
• Godrick's Great Rune +5
• Grafted Blade Greatsword's Ash of War +5
• Marika's Soarseal +5 (this isn't available at this point in the guide)
• Marika's Scarseal +3

Quest Progression Brother Corhyn/Goldmask/Hyetta

• From the Erdtree Sanctuary Grace: Equip the Law of Regression and prepare any necessary buffs to get to 37 Intelligence.
• Head West and go down the lift then the stairs to find a message that says "Regression alone reveals secrets"
• Stand on the message and cast Law of Regression to see the statue change then read the new message in front of you.
• From the West Capital Rampart Grace: Follow the path South-East past the branches and up the cliff continuing South-East to talk with Brother Corhyn about Goldmask
• Tell Goldmask the Truth to receive the Golden Order Totality Emote
• Talk with Brother Corhyn again to exhaust his dialogue.
• From the Underground Roadside Grace: Enter the hole that you went down on your way to the Dung Eater's prison cell.
• Run past the rats and enter the sewer pipe on the right.
• Run past the slugs, avoiding falling down the holes, until your reach an intersection with an open tunnel and a gate with no door
• Go right through the gate with no door and defeat the big guys to climb the ladder
• Use the lever to open the shortcut just in case
• Open the door and drop down to the left.
• Follow this path until you see a giant flower below you and instead turn around to go into the path under the stairs.
• Follow this path to the end to kill another big guy and climb another ladder
• Open the shortcut door just in case
• On the bridge before the shortcut door, go up the pipe and follow it to the end.
• Drop down to the left and jump onto the wooden walkway to go through the doorway.
• Kick the ladder to your left to lower it for an alternative route, just in case
• Jump down into the pipe below to see two paths. Go the path that does NOT have the gate with no door. You should see a rat on the correct path.
• Follow this path forward and jump over the first hole to fight a giant rat.
• Past the giant rat is a second hole that you should fall into. You can see a corpse with an item inside this hole.
• Open the shortcut gate nearby, just in case.
• Continue going down the path to climb down a ladder.
• Use the nearby lift to grab the Forsaken Depths Grace
• Go down the path North-East and kill Mohg, the Omen and grab the Cathedral of the Forsaken Grace
• Hit the altar and parkour your way to the bottom to grab the Frenzied Flame Proscription Grace.

WARNING: From here you have a choice. If you grab the Frenzied Flame then you will be locked out of all other endings unless you do ALL of the following:

• Help Millicent
• Defeat Malenia
• Defeat Placidusax

If you are confident you can do that, or want the Frenzied Flame Ending, then go ahead and proceed with this section. Otherwise you can wait until you have done all 3 of the above and come back at any time. So proceed at your own risk!

• From the Frenzied Flame Proscription Grace: Strip yourself of all equipment and interact with the door.
• Talk with Hyetta and exhaust her dialogue for the Frenzied Flame Seal

Mountaintops of the Giants

• From the Avenue Balcony Grace: Follow the road North-East and open the giant door
• Go up the stairs heading South-East and use the lift to reach the top
• Head East across the bridge and use the lift to grab the Forbidden Lands Grace
• Follow the path East and North-East to grab the Grand Lift of Rold Grace
• Use the lift to and head North-East to grab the Zamor Ruins Grace
• Grab the Ronin Armor Set nearby if you grabbed the Frenzied Flame. You can also kill Shabriri for it if desired.
• Follow the path going East then North until you fire a bunch of Fire Monks and a bridge.
• Go down the path South-East from the start of the bridge to grab the Giants' Mountaintop Catacombs Grace
• Proceed through the catacombs as desired to kill the boss and grab a Deathroot from the chest.
• From the Giants' Mountaintop Catacombs Grace: Leave the catacombs and cross the bridge.
• Head North-East up the path to grab the Ancient Snow Valley Ruins Grace
• Talk with Millicent and exhaust her dialogue.
• Head North to the frozen river then go West to invade Juno Hoslow, Knight of Blood and receive the Hoslow Armor Set and Hoslow's Petal Whip
• Go South and use the Spirit Jump then go onto the bridge to the East
• Talk with Corhyn and Goldmask to exhaust their dialogue.
• Go North-East to the Stargazer's Ruins and summon the Spirit Jellyfish Ashes to open the basement seal and collect the Primal Glintstone Blade from the chest.
• Cross the bridge to the West
• Follow the path East to grab the Snow Valley Ruins Overlook Grace next to the bridge.
• Head North-West and kill the Tibia Mariner on the cliff's edge to receive a Deathroot
• Go down the cliffs going North-West then go North-East to the castle to grab the Castle Sol Main Gate Grace
• Proceed through the area as desired to grab the Church of the Eclipse Grace
• Continue proceeding as desired to kill Commander Niall and grab the Castle Sol Rooftop Grace.
• Go up the lift behind the boss room to grab the Haligtree Secret Medallion (Left)
• From the Snow Valley Ruins Overlook Grace: Head North-East and grab the Freezing Lake Grace South-West of the frozen lake.
• Follow the edge of the lake far South-East to find a church and grab the First Church of Marika Grace
• Go West up the slope to grab the Whiteridge Road Grace
• Head South-West up the slope and cross the chains to grab the Giants' Gravepost Grace
• Go up the slope to the South, hugging the East wall and grab the Foot of the Forge Grace near the giant hand.
• Cross the chains to the North or South to kill the Fire Giant and grab the Fire Giant Grace
• Cross the chains to the North-East and go North to grab the Forge of the Giants Grace
• Light the flame to enter Crumbling Farrum Azula
• Proceed as desired to grab the Crumbling Beast Grave Grace

Volcano Manor

• From the Volcano Manor Grace: Talk with Patches to receive the Magma Whip Candlestick
• Talk with Rya to tell her the Truth and give her the Serpent's Amnion
• Talk with Bernahl to receive Gelmir's Fury
• Talk with Tanith to receive the Taker's Cameo and See the Lord
• Grab the Audience Pathway Grace
• Enter the boss room to grab the Serpent Hunter
• Kill Rykard, Lord of Blasphemy grab the Rykard, Lord of Blasphemy Grace
• Grab the Eye Surcoat from nearby
• From the Volcano Manor Grace: Talk with Patches, Bernahl and Tanith to exhaust their dialogue
• Grab the My Thanks Emote
• Reload to grab the Tonic of Forgetfulness from Tanith's chair
• From the Rykard, Lord of Blasphemy Grace: Attack Tanith and kill Tanith's Knight to receive Aspects of the Crucible: Breath and grab the Consort's Armor Set
• From the Temple of Eiglay Grace: Go up the lift and jump over the balcony to the East
• Follow the path East and then North-West into the window near the Iron Virgin
• Open the door and follow the path West into the room with the lift
• Use the lift and jump into the doorway to the North on the way down
• Jump out the window and enter the room nearby to talk with Rya but don't give her the Tonic of Forgetfulness
• Reload and talk with her again but still don't give her the Tonic of Forgetfulness
• Reload and grab Zorayas's Letter and Daedicar's Woe

Consecrated Snowfield

• From the Grand Lift of Rold Grace: Go to use the lift and switch to Hoist secret medallion to enter the Hidden Path to the Haligtree
• Proceed through the area as desired but make sure to kill the boss to receive the final Deathroot
• After killing the boss, take the teleport to grab the Hidden Path to the Haligtree Grace
• Head North to grab the Consecrated Snowfield Grace
• Continue far North to grab the Inner Consecrated Snowfield Grace just before the frozen river
• Keep going North to grab the Ordina, Liturgical Town Grace
• Head North-West to the church and defeat the Walking Mausoleum outside by hitting the skulls
• Grab the Apostate Derelict Grace in the church
• Grab the Silver Mirrorshield nearby and summon Latenna
• Talk to Latenna to receive a Somber Ancient Dragon Smithing Stone
• From the Ordina, Liturgical Town Grace: Head North through the town and use the Imp Statue
• Enter the evergaol and light the 4 statues to break the seal.
• Head up the stairs North-East to use the portal and grab the Haligtree Canopy

Miquella's Haligtree

• From the Haligtree Canopy Grace: Proceed through the branches as desired until you reach the Haligtree Town Grace
• From the Haligtree Town Grace: Proceed through the area as desired until you grab the Haligtree Town Plaza Grace
• Continue proceeding through the area to grab the lift shortcut.
• Kill Loretta, Haligtree Knight and grab the Haligtree Promenade Grace
• Follow the path past the boss room as desired to grab the Prayer Room Grace
• Talk to Millicent nearby
• Proceed through the area as desired to grab the Elphael Inner Wall Grace
• Continue proceeding through the area as desired to grab the Drainage Channel Grace
• From the Drainage Channel Grace: Go back West and up the ladder to go outside
• Go up the slope to the North and cross the branch going South-West to the pool of rot.
• Kill the Putrid Tree Spirit
• Go to the cliff on the North-West side to have a choice. Invading Millicent will give you Millicent's Prosthesis. Aiding Millicent will give you Rotten Wing Insignia and the Unalloyed Gold Needle which is needed to cure the Frenzied Flame. This guide will assume you Aided Millicent as it has more steps.
• After Aiding Millicent, talk to her on the North-West side of the rot pool to receive the Rotten Wing Insignia.
• Reload and grab the Unalloyed Gold Needle
• From the Drainage Channel Grace: Proceed as desired until you grab the Haligtree Roots Grace.
• Kill Malenia and grab the Malenia, Goddess of Rot Grace
• Interact with the Scarlet Aeonia to receive Miquella's Needle

Quest Cleanup Gowry/Gurranq/Gideon

• From the Church of the Plague Grace: Go West down the cliff to Gowry's Shack and collect the Flock's Canvas Talisman
• From the Bestial Sanctum Grace: Talk to Gurranq, Beast Clergyman and give him all 9 Deathroot to receive the Clawmark Seal, Beast Eye, Bestial Sling, Bestial Vitality and Ash of War: Beast's Roar.
• Reload and damage Gurranq enough for him to surrender
• Reload and talk with Gurranq again to receive Beast Claw, Stone of Gurranq, Beastclaw Greathammer, Gurranq's Beast Claw and an Ancient Dragon Smithing Stone.
• From the Dynasty Mausoleum Midpoint Grace: Kill Mohg, Lord of Blood and grab the Cocoon of the Empyrean Grace
• From the Roundtable Hold: Talk to Gideon and tell him about the secret medallions, the Haligtree Roots, Mohgwyn Palace and the Lord of Blood's cocoon for Black Flame's Protection, Lord's Divine Fortification, Fevor's Cookbook [3] and Law of Causality

Crumbling Farum Azula

• From the Crumbling Beast Grave Grace: Proceed through the area as desired until you reach the Dragon Temple Grace
• Kill the Godskin Duo and grab the Dragon Temple Altar Grace
• Continue proceeding through the area as desired and find the Imp Statue located where the most North-West red building is
• Use the Imp Statue to grab the Dragon Temple Lift Grace
• Proceed as desired going South from the Dragon Temple Lift Grace to find Alexander, Warrior Jar
• Talk with and defeat Alexander, Warrior Jar
• Talk with him again to receive the Shard of Alexander and Alexander's Innards
• From the Dragon Temple Lift Grace: Go down the lift and proceed as desired until you reach the Beside the Great Bridge Grace
• Climb the stairs to the West and then follow the path going North to it's end
• Kill the Invader Recusant Bernahl to receive the Blasphemous Claw, Devourer's Scepter and Beast Champion Armor Set
• From the Beside the Great Bridge Grace: Go down the lift and make your way West out of the building.
• Run to the cliff to the West and fall off the edge to the path below the cliff
• Make your way down to the bottom and interact with the empty grave to enter the boss room.
• Kill Dragonlord Placidusax and grab the Dragonlord Placidusax Grace
• If you wish to be rid of the Frenzied Flame and allow other endings: Use Miquella's Needle to cure yourself.
• From the Beside the Great Bridge Grace: Kill Maliketh, the Black Blade

Quest Cleanup Brother Corhyn/Goldmask/Jarbairn/Patches

• Grab the Leyndell, Capital of Ash Grace nearby
• Head far South and talk with Brother Corhyn
• Reload to grab Corhyn's Robe and a Flail
• Head South-West not up the stairs, across the branch bridge and receive the Mending Rune of Perfect Order from Goldmask
• Reload and grab the Goldmask Armor Set
• From the Jarburg Grace: Talk with Jarbairn on the staircase nearby and agree to be his Potentate
• Reload and talk to him again
• Reload and talk to him one more time to give him Alexander's Insides and exhaust his dialogue
• Reload and grab the Companion Jar from where he was on the stairs.
• From the Shaded Castle Inner Gate Grace: Follow the path to the North up the ladder and up the lift to the boss room.
• Just before the boss room, talk with Patches to receive the Dancer's Castanets and exhaust his dialogue
• Reload to confirm he disappears
• From the Murkwater Cave Grace: Go to the boss room and open the chest.
• Don't kill the boss to receive the Patches' Crouch Emote
• Kill Patches to receive a +7 Spear and the Leather Armor Set
• From here you can complete the game as desired. The only unique rewards you will be missing are the Nepheli Loux Puppet and Millicent's Prosthesis which can both be acquired fairly early on NG+.

And with that, all of the questlines are completed! If you enjoyed the guide, be sure to check out my other Guides.

First Half

Hello everyone! Here is the Second Half of the guide. I hope everyone enjoys the guide and please let me know if you have any suggestions, fixes or feedback!

First Half

WARNING: SPOILERS AHEAD

Quest Cleanup Nepheli/Dung EateSeluvis

Note: You can complete Seluvis' Quest by giving the potion to Nepheli, but this guide will follow the path that gives the most rewards, specifically 2 Ancient Smithing Stones and a Puppet vs just a Puppet. This path will lock out one of the game's endings, but it's an ending that isn't required for an Achievement.

• From the Fallen Ruins of the Lake Grace: Head West to talk with Varre and receive the Lord of Blood's Favor.
• From the Foot of the Four Belfries Grace: Head North-East up to the top of the mountain and grab the Four Belfries Grace.
• Open the chest nearby to get an Imbued Sword Key.
• Use the Imp Statue North-East that has the message "Precipice of Anticipation" written nearby.
• Enter the portal to reach the Chapel of Anticipation.
• Kill the boss if you didn't at the start of the game.
• Head South across the bridge and up the stairs.
• Enter the small doorway to the North-West to grab The Stormhawk King
• Go into the building and jump down then interact with the dead finger maiden to dye the Lord of Blood's Favor.
• From the Fallen Ruins of the Lake Grace: Head West to talk with Varre and receive the Bloody Finger.
• Talk with Varre again to receive the Pureblood Knight's Medal
• Use the Pureblood Knight's Medal to enter Mohgwyn Dynasty Mausoleum
• Head South-West to grab the Dynasty Mausoleum Entrance Grace
• Follow the path South up the stairs and proceed as desired until you grab the Dynasty Mausoleum Midpoint Grace on the other end of the cave.
• Go back into the cave and Invade White Mask Varre
• Talk with Varre to receive Varre's Bouquet
• From the Roundtable Hold: Talk with the Finger Reader and purchase Radahn's Lion Armor from her.
• Go into the room past the Twin Maiden Husks to talk with the Dung-Eater and exhaust his dialogue to receive the Sewer-Gaol Key
• Head down the stairs past Blacksmith Hewg and talk with Nepheli.
• Talk with Gideon about Nepheli
• Return to Nepheli to exhaust her dialogue and give her The Stormhawk King. Be careful not to click too fast or you could accidentally give her the potion instead.
• From the Godrick the Grafted Grace: Rest at the grace, then rest at it again(Gostoc will disappear)
• Go North-West and talk with Nepheli to receive Ancient Dragon Smithing Stone
• Talk with Gostoc nearby to have access to purchase another Ancient Dragon Smithing Stone.
• From the Avenue Balcony Grace: Go down the stairs then jump over the railing to the West onto the roof.
• Jump down and go around the building to the North-West to find a well.
• Go down the well and continue forward until you grab the Underground Roadside Grace.
• Leave the room and go North to jump down the hole on the left to enter a sewer tunnel filled with rats.
• Follow the path North-West then South-West past the rats and flowers to climb the ladder.
• Open the cell and talk with Dung-Eater to release him.
• From the Outer Wall Battleground Grace: Head South-East up the stairs and keep heading East past the graveyard.
• Follow the road South-East down the slope to the pond.
• Head West to the other side of the pond and talk with Blackguard Big Boggart to buy a Boiled Crab and exhaust his dialogue.
• Reload and talk with Blackguard Big Boggart again to receive Iron Ball and Blackguard's Iron Mask
• Kill the Dung Eater Invader for the Sword of Milos.
• From the Roundtable Hold: Talk with the Dung-Eater and exhaust his dialogue.
• From the Underground Roadside Grace: Follow the same path as before to the cell where you found the Dung-Eater.
• Talk with the Dung-Eater to Administer Seluvis's Potion. Again, be careful not to click too fast or you could give him the Seedbed Curse.
• Once you are no longer able to talk with him, kill him to receive the Omen Armor Set. You will still have access to the puppet.
• From Ranni's Rise Grace: Head South-East to Seluvis's Rise and talk with Seluvis. You can now learn Sorcery from him.
• Talk with him about his chambers and choose the Jarwight Puppet as it is the more expensive of the 2.
• Reload and talk with him then reload and talk with him again to purchase Finger Maiden Therolina Puppet.
• Talk with him again to ask about his scheme and give him the Amber Starlight Shard.
• Talk with him again to receive the Magic Scorpion Charm

Quest Cleanup Rennala/Sellen/Boc/Fia/Ranni

• From Ranni's Rise: Go up the lift and talk with Ranni to give her the Fingerslayer Blade and receive the Carian Inverted Statue.
• From Royal Moongazing Grounds: Head North-West to Renna's Rise and go up the ladder to grab the Snow Witch Armor Set from the chest behind you.
• Continue up to use the portal and grab the Miniature Ranni from the coffin in front of you.
• Go South and grab the Ainsel River Main Grace
• Rest at the Grace and talk to the miniature Ranni 3 times.
• Follow the path South-West and stick to the river then through the doorway of the building to grab the Nokstella, Eternal City Grace
• Continue following the river West to find the lift in the final building on the left.
• Take the lift down to grab the Nokstella Waterfall Basin Grace
• Go through the small tunnel South-West to kill the Baleful Shadow and receive the Discarded Palace Key
• Continue through the doorway South-West and take the lift down to grab the Lake of Rot Shoreside Grace
• Proceed across the Lake of Rot as desired to the far South-West and grab the Grand Cloister Grace.
• From the Agheel Lake South Grace: Follow the road North and into the basement of the Waypoint Ruins to kill the Mad Pumpkin Head boss.
• Grab the Waypoint Ruins Cellar Grace
• Open the nearby door and ask to learn Sorcery from Sellen
• Show Azur's sorcery to Sellen, ask for her story and journey together with her.
• Talk to Sellen about her favor to receive the Sellian Sealbreaker
• From the Church of the Plague Grace: Head North-East up the slope and attack the illusory wall behind the large grave to reveal a cave
• Grab the Sellia Hideaway Grace
• Proceed through the cave as desired and interact with the seal at the bottom of the crevice.
• Talk with Lusat to receive the Stars of Ruin
• From the Waypoint Ruins Cellar: Talk with Sellen and tell her Lusat's location to receive a Starlight Shard.
• Talk with Sellen about her request.
• From the Bridge of Sacrifice Grace: Head West over the rocks and follow along the edge of the forest going very far West to the cliffs just past the ruins.
• Make your way up the cliffs, going North when possible to find the church and grab the Church of Pilgrimage Grace.
• Head far South-West, past the ruins and the evergaol to find the second church and grab the Fourth Church of Marika Grace.
• Go South and enter the basement of the Witchbane Ruins to talk with Sellen and receive Sellen's Primal Glintstone then exhaust her dialogue.
• Reload and talk with Jerren
• From Ranni's Rise: Head North-East into the basement of the ruins where you found Seluvis' puppets and interact with Sellen to give her Sellen's Primal Glintstone.
• From the Raya Lucaria Grand Library Grace: Open the chest nearby to receive the Dark Moon Ring
• Talk with Rennala and buy a rebirth to receive the Balled Up Emote.
• Go through the doors South-East and pick a sign to use. This guide will assume Sellen's as it offers more rewards and has extra steps to complete but if you choose to help Jerren, kill him afterwards for his armor.
• Defeat Jerren to receive the Eccentric's Armor Set
• Talk with Sellen to receive the Glintstone Kris and purchase Shard Spiral from her.
• Reload and grab the Witch's Glintstone Crown from nearby
• Head South-East through the doors and down the elevator
• Continue South-East into the other building and use the portal North-East to grab the Church of Vows Grace
• Open the chest in the church to receive the Gold Sewing Needle and the Golden Tailoring Tools
• Talk with Miriel nearby and give him the Golden Order Principia
• Purchase the Law of Regression from Miriel
• Follow the road East, then South-East to grab the Eastern Tableland Grace
• Continue following the road South to grab the Study Hall Entrance Grace
• Use the Carian Inverted Statue on the altar.
• Proceed through the Carian Study Hall as desired to grab the Liurnia Tower Bridge Grace
• Head East across the bridge to kill the Godskin Noble and receive the Godskin Noble Armor Set
• Continue East through the doors and up the lift to grab the Divine Tower of Liurnia Grace
• Go up the stairs and grab the Cursemark of Death and Stargazer Heirloom
• From the Primeval Sorcerer Azur Grace: Grab the Azur Armor Set from where you found him
• From the Sellia Hideaway Grace: Grab the Lusat Armor Set from where you found him
• From the East Capital Rampart Grace: Talk with Boc and exhaust his dialogue to give him the Gold Sewing Needle.
• Talk to Boc about his favor and grant his request to receive the My Lord Emote
• From the Prince of Death's Throne Grace: Talk with Fia and ask her to hold you
• Talk with Fia as she holds you to give her the Cursemark of Death and receive the Radiant Baldachin's Blessing then keep talking with Fia to exhaust her dialogue
• Reload and talk with her again
• Reload once more and interact with her to kill the Lichdragon Fortissax.
• Grab the Mending Rune of the Death-Prince from Fia.
• Reload to grab Fia's Armor Set
• Kill D, Beholder of Death to retrieve the Twinned Armor Set you lent him and take Inseparable Sword as interest.
• From the Grand Cloister Grace: Make your way down South-West to use the coffin
• Kill Astel, Naturalborn of the Void and grab the Grace.
• Head North-East into the tunnel and use the lift to grab the Moonlight Altar Grace
• Follow the road North-East to the cathedral and grab the Cathedral of Manus Celes Grace.
• Grab all of the Starlight Shards nearby for later.
• Drop down into the hole and give Ranni the ring.
• Talk with Ranni to receive the Dark Moon Greatsword.
• From the Ranni's Rise Grace: Head outside and defeat Blaidd to receive Blaidd's Armor Set and the Royal Greatsword.
• Go South to Seluvis's Rise to grab the Preceptor Set and purchase the Dung Eater Puppet from Seluvis's corpse
• Follow the cliff East and hop down to the bottom to find Pidia and receive the Dolores the Sleeping Arrow Puppet.
• From the Road to the Manor Grace: Talk with Iji and tell him of Blaidd's death.
• Reload to grab Iji's Mirrorhelm

Intelligence Required

Make sure to have the capability to get at least 37 Intelligence, even if just temporary. You can buff to this much even at 7 Intelligence, which is the lowest possible from Starting Class. Intelligence Boosts:

• Intelligence-knot Crystal Tear +10
• Twinsage Glintstone Crown +6
• Stargazer Heirloom +5
• Godrick's Great Rune +5
• Grafted Blade Greatsword's Ash of War +5
• Marika's Soarseal +5 (this isn't available at this point in the guide)
• Marika's Scarseal +3

Quest Progression Brother Corhyn/Goldmask/Hyetta

• From the Erdtree Sanctuary Grace: Equip the Law of Regression and prepare any necessary buffs to get to 37 Intelligence.
• Head West and go down the lift then the stairs to find a message that says "Regression alone reveals secrets"
• Stand on the message and cast Law of Regression to see the statue change then read the new message in front of you.
• From the West Capital Rampart Grace: Follow the path South-East past the branches and up the cliff continuing South-East to talk with Brother Corhyn about Goldmask
• Tell Goldmask the Truth to receive the Golden Order Totality Emote
• Talk with Brother Corhyn again to exhaust his dialogue.
• From the Underground Roadside Grace: Enter the hole that you went down on your way to the Dung Eater's prison cell.
• Run past the rats and enter the sewer pipe on the right.
• Run past the slugs, avoiding falling down the holes, until your reach an intersection with an open tunnel and a gate with no door
• Go right through the gate with no door and defeat the big guys to climb the ladder
• Use the lever to open the shortcut just in case
• Open the door and drop down to the left.
• Follow this path until you see a giant flower below you and instead turn around to go into the path under the stairs.
• Follow this path to the end to kill another big guy and climb another ladder
• Open the shortcut door just in case
• On the bridge before the shortcut door, go up the pipe and follow it to the end.
• Drop down to the left and jump onto the wooden walkway to go through the doorway.
• Kick the ladder to your left to lower it for an alternative route, just in case
• Jump down into the pipe below to see two paths. Go the path that does NOT have the gate with no door. You should see a rat on the correct path.
• Follow this path forward and jump over the first hole to fight a giant rat.
• Past the giant rat is a second hole that you should fall into. You can see a corpse with an item inside this hole.
• Open the shortcut gate nearby, just in case.
• Continue going down the path to climb down a ladder.
• Use the nearby lift to grab the Forsaken Depths Grace
• Go down the path North-East and kill Mohg, the Omen and grab the Cathedral of the Forsaken Grace
• Hit the altar and parkour your way to the bottom to grab the Frenzied Flame Proscription Grace.

WARNING: From here you have a choice. If you grab the Frenzied Flame then you will be locked out of all other endings unless you do ALL of the following:

• Help Millicent
• Defeat Malenia
• Defeat Placidusax

If you are confident you can do that, or want the Frenzied Flame Ending, then go ahead and proceed with this section. Otherwise you can wait until you have done all 3 of the above and come back at any time. So proceed at your own risk!

• From the Frenzied Flame Proscription Grace: Strip yourself of all equipment and interact with the door.
• Talk with Hyetta and exhaust her dialogue for the Frenzied Flame Seal

Mountaintops of the Giants

• From the Avenue Balcony Grace: Follow the road North-East and open the giant door
• Go up the stairs heading South-East and use the lift to reach the top
• Head East across the bridge and use the lift to grab the Forbidden Lands Grace
• Follow the path East and North-East to grab the Grand Lift of Rold Grace
• Use the lift to and head North-East to grab the Zamor Ruins Grace
• Grab the Ronin Armor Set nearby if you grabbed the Frenzied Flame. You can also kill Shabriri for it if desired.
• Follow the path going East then North until you fire a bunch of Fire Monks and a bridge.
• Go down the path South-East from the start of the bridge to grab the Giants' Mountaintop Catacombs Grace
• Proceed through the catacombs as desired to kill the boss and grab a Deathroot from the chest.
• From the Giants' Mountaintop Catacombs Grace: Leave the catacombs and cross the bridge.
• Head North-East up the path to grab the Ancient Snow Valley Ruins Grace
• Talk with Millicent and exhaust her dialogue.
• Head North to the frozen river then go West to invade Juno Hoslow, Knight of Blood and receive the Hoslow Armor Set and Hoslow's Petal Whip
• Go South and use the Spirit Jump then go onto the bridge to the East
• Talk with Corhyn and Goldmask to exhaust their dialogue.
• Go North-East to the Stargazer's Ruins and summon the Spirit Jellyfish Ashes to open the basement seal and collect the Primal Glintstone Blade from the chest.
• Cross the bridge to the West
• Follow the path East to grab the Snow Valley Ruins Overlook Grace next to the bridge.
• Head North-West and kill the Tibia Mariner on the cliff's edge to receive a Deathroot
• Go down the cliffs going North-West then go North-East to the castle to grab the Castle Sol Main Gate Grace
• Proceed through the area as desired to grab the Church of the Eclipse Grace
• Continue proceeding as desired to kill Commander Niall and grab the Castle Sol Rooftop Grace.
• Go up the lift behind the boss room to grab the Haligtree Secret Medallion (Left)
• From the Snow Valley Ruins Overlook Grace: Head North-East and grab the Freezing Lake Grace South-West of the frozen lake.
• Follow the edge of the lake far South-East to find a church and grab the First Church of Marika Grace
• Go West up the slope to grab the Whiteridge Road Grace
• Head South-West up the slope and cross the chains to grab the Giants' Gravepost Grace
• Go up the slope to the South, hugging the East wall and grab the Foot of the Forge Grace near the giant hand.
• Cross the chains to the North or South to kill the Fire Giant and grab the Fire Giant Grace
• Cross the chains to the North-East and go North to grab the Forge of the Giants Grace
• Light the flame to enter Crumbling Farrum Azula
• Proceed as desired to grab the Crumbling Beast Grave Grace

Volcano Manor

• From the Volcano Manor Grace: Talk with Patches to receive the Magma Whip Candlestick
• Talk with Rya to tell her the Truth and give her the Serpent's Amnion
• Talk with Bernahl to receive Gelmir's Fury
• Talk with Tanith to receive the Taker's Cameo and See the Lord
• Grab the Audience Pathway Grace
• Enter the boss room to grab the Serpent Hunter
• Kill Rykard, Lord of Blasphemy grab the Rykard, Lord of Blasphemy Grace
• Grab the Eye Surcoat from nearby
• From the Volcano Manor Grace: Talk with Patches, Bernahl and Tanith to exhaust their dialogue
• Grab the My Thanks Emote
• Reload to grab the Tonic of Forgetfulness from Tanith's chair
• From the Rykard, Lord of Blasphemy Grace: Attack Tanith and kill Tanith's Knight to receive Aspects of the Crucible: Breath and grab the Consort's Armor Set
• From the Temple of Eiglay Grace: Go up the lift and jump over the balcony to the East
• Follow the path East and then North-West into the window near the Iron Virgin
• Open the door and follow the path West into the room with the lift
• Use the lift and jump into the doorway to the North on the way down
• Jump out the window and enter the room nearby to talk with Rya but don't give her the Tonic of Forgetfulness
• Reload and talk with her again but still don't give her the Tonic of Forgetfulness
• Reload and grab Zorayas's Letter and Daedicar's Woe

Consecrated Snowfield

• From the Grand Lift of Rold Grace: Go to use the lift and switch to Hoist secret medallion to enter the Hidden Path to the Haligtree
• Proceed through the area as desired but make sure to kill the boss to receive the final Deathroot
• After killing the boss, take the teleport to grab the Hidden Path to the Haligtree Grace
• Head North to grab the Consecrated Snowfield Grace
• Continue far North to grab the Inner Consecrated Snowfield Grace just before the frozen river
• Keep going North to grab the Ordina, Liturgical Town Grace
• Head North-West to the church and defeat the Walking Mausoleum outside by hitting the skulls
• Grab the Apostate Derelict Grace in the church
• Grab the Silver Mirrorshield nearby and summon Latenna
• Talk to Latenna to receive a Somber Ancient Dragon Smithing Stone
• From the Ordina, Liturgical Town Grace: Head North through the town and use the Imp Statue
• Enter the evergaol and light the 4 statues to break the seal.
• Head up the stairs North-East to use the portal and grab the Haligtree Canopy

Miquella's Haligtree

• From the Haligtree Canopy Grace: Proceed through the branches as desired until you reach the Haligtree Town Grace
• From the Haligtree Town Grace: Proceed through the area as desired until you grab the Haligtree Town Plaza Grace
• Continue proceeding through the area to grab the lift shortcut.
• Kill Loretta, Haligtree Knight and grab the Haligtree Promenade Grace
• Follow the path past the boss room as desired to grab the Prayer Room Grace
• Talk to Millicent nearby
• Proceed through the area as desired to grab the Elphael Inner Wall Grace
• Continue proceeding through the area as desired to grab the Drainage Channel Grace
• From the Drainage Channel Grace: Go back West and up the ladder to go outside
• Go up the slope to the North and cross the branch going South-West to the pool of rot.
• Kill the Putrid Tree Spirit
• Go to the cliff on the North-West side to have a choice. Invading Millicent will give you Millicent's Prosthesis. Aiding Millicent will give you Rotten Wing Insignia and the Unalloyed Gold Needle which is needed to cure the Frenzied Flame. This guide will assume you Aided Millicent as it has more steps.
• After Aiding Millicent, talk to her on the North-West side of the rot pool to receive the Rotten Wing Insignia.
• Reload and grab the Unalloyed Gold Needle
• From the Drainage Channel Grace: Proceed as desired until you grab the Haligtree Roots Grace.
• Kill Malenia and grab the Malenia, Goddess of Rot Grace
• Interact with the Scarlet Aeonia to receive Miquella's Needle

Quest Cleanup Gowry/Gurranq/Gideon

• From the Church of the Plague Grace: Go West down the cliff to Gowry's Shack and collect the Flock's Canvas Talisman
• From the Bestial Sanctum Grace: Talk to Gurranq, Beast Clergyman and give him all 9 Deathroot to receive the Clawmark Seal, Beast Eye, Bestial Sling, Bestial Vitality and Ash of War: Beast's Roar.
• Reload and damage Gurranq enough for him to surrender
• Reload and talk with Gurranq again to receive Beast Claw, Stone of Gurranq, Beastclaw Greathammer, Gurranq's Beast Claw and an Ancient Dragon Smithing Stone.
• From the Dynasty Mausoleum Midpoint Grace: Kill Mohg, Lord of Blood and grab the Cocoon of the Empyrean Grace
• From the Roundtable Hold: Talk to Gideon and tell him about the secret medallions, the Haligtree Roots, Mohgwyn Palace and the Lord of Blood's cocoon for Black Flame's Protection, Lord's Divine Fortification, Fevor's Cookbook [3] and Law of Causality

Crumbling Farum Azula

• From the Crumbling Beast Grave Grace: Proceed through the area as desired until you reach the Dragon Temple Grace
• Kill the Godskin Duo and grab the Dragon Temple Altar Grace
• Continue proceeding through the area as desired and find the Imp Statue located where the most North-West red building is
• Use the Imp Statue to grab the Dragon Temple Lift Grace
• Proceed as desired going South from the Dragon Temple Lift Grace to find Alexander, Warrior Jar
• Talk with and defeat Alexander, Warrior Jar
• Talk with him again to receive the Shard of Alexander and Alexander's Innards
• From the Dragon Temple Lift Grace: Go down the lift and proceed as desired until you reach the Beside the Great Bridge Grace
• Climb the stairs to the West and then follow the path going North to it's end
• Kill the Invader Recusant Bernahl to receive the Blasphemous Claw, Devourer's Scepter and Beast Champion Armor Set
• From the Beside the Great Bridge Grace: Go down the lift and make your way West out of the building.
• Run to the cliff to the West and fall off the edge to the path below the cliff
• Make your way down to the bottom and interact with the empty grave to enter the boss room.
• Kill Dragonlord Placidusax and grab the Dragonlord Placidusax Grace
• If you wish to be rid of the Frenzied Flame and allow other endings: Use Miquella's Needle to cure yourself.
• From the Beside the Great Bridge Grace: Kill Maliketh, the Black Blade

Quest Cleanup Brother Corhyn/Goldmask/Jarbairn/Patches

• Grab the Leyndell, Capital of Ash Grace nearby
• Head far South and talk with Brother Corhyn
• Reload to grab Corhyn's Robe and a Flail
• Head South-West not up the stairs, across the branch bridge and receive the Mending Rune of Perfect Order from Goldmask
• Reload and grab the Goldmask Armor Set
• From the Jarburg Grace: Talk with Jarbairn on the staircase nearby and agree to be his Potentate
• Reload and talk to him again
• Reload and talk to him one more time to give him Alexander's Insides and exhaust his dialogue
• Reload and grab the Companion Jar from where he was on the stairs.
• From the Shaded Castle Inner Gate Grace: Follow the path to the North up the ladder and up the lift to the boss room.
• Just before the boss room, talk with Patches to receive the Dancer's Castanets and exhaust his dialogue
• Reload to confirm he disappears
• From the Murkwater Cave Grace: Go to the boss room and open the chest.
• Don't kill the boss to receive the Patches' Crouch Emote
• Kill Patches to receive a +7 Spear and the Leather Armor Set
• From here you can complete the game as desired. The only unique rewards you will be missing are the Nepheli Loux Puppet and Millicent's Prosthesis which can both be acquired fairly early on NG+.

And with that, all of the questlines are completed! If you enjoyed the guide, be sure to check out my other Guides. We also have a Website to keep track of your game progress, a Youtube and a Discord where you can come hang out.

First Half

Opinions?
This is a throw away account for obvious reasons but I just wanted to post this and see what other people thought of this. I appreciate any feedback/opinions. I have moved on and decided to just believe in my saying “everything happens for a reason” and look for a better opportunity.
I apologize for how long this will be…
Alright so to give you a little background during PA school I did struggle in some classes but I only ever got one C and had to retake some tests. Because of that C and retaking some of the EORs I was placed on academic probation which is understandable. I met all of the requirements and completed what I needed to do and graduated. I ended up passing the PANCE very easily on my second try (first time the nerves got the best of me). I begin to apply to jobs and I reach out to some clinical preceptors as well as some teachers from my program for references. Everyone said they were willing to give me a positive reference for my application. I interviewed and got accepted into an ICU position that had a great onboarding process for new grads (I specifically told them if it was ok that I was a new grad and they said yes). I start the credentialing process which was 8-10 weeks and on the 10th week I get a call and they say they are rescinding their offer. But told me that they can’t say why due to it being a “confidential process”.
Later on after doing some digging and talking to some connections I have I found out one of my references gave me a “good review” but gave me some constructive criticism and voiced concerns because of my academic probation. My connections told me that this person has worked long enough to know what they were doing when they did that reference and it might not of been 100% on purpose but they knew it would ruin my application and cause me to lose this job. The reference was then called and was asked to elaborate on this and they then proceeded to call the director of my program and they tell them about my academic probation struggles as well. Which I found out where I’m from that’s illegal to disclose that information unless I put them as a reference. So basically even though I struggled in school I still graduated and got the C at the end of my name just like any of my other classmates but then later find out my program is trash talking me and keeping me from getting a job. So now I wasted 10 weeks of waiting and now I’m having to job search all over again without any pay that I could have been getting if I started already.
And yes I agree I did give my reference permission to say whatever they wanted but I did not give my director permission. And I also have an email from my reference stating that they would “gladly be a positive reference for me”.
What makes things worse is they almost caused me to be denied credentialing which I heard makes applying to jobs so much worse.
So what do you think? I apologize for how long this is and if some of it doesn’t make sense or I seem to ramble. Thanks everyone!

For context I’ve been a nurse for 4 years. I have worked peds cardiac icu my whole nursing career. 2 years as a staff nurse and 2 years as a travel nurse.
I decided to go staff at a hospital I did a contract at for 7 months. I had a great experience as a traveler there working dayshift. The staff were amazing, supportive and encouraging. I’ve been doing a condensed staff orientation for the past 5 weeks and it’s been going great. My dayshift preceptor and coworkers know me, they know my skill and are just as supportive as they were when I was a traveler.
I’ve been orienting on nights the past week and it’s been a struggle. The nightshift nurses only know me as “the traveler” but don’t know my skill level. I understand until they get to know me and see my work ethic and skill things will improve but man, my shift last night has me feeling so defeated. My patient needed consistent interventions, was a sedation nightmare and all around extremely busy. I don’t feel like anything we did was out of my depth but my preceptor was on top of me questioning every thing I did, down to even how I collected my labs.
I tried to be gracious and accept the “education” and take the constructive feedback but it totally beat down my confidence. The more my preceptor second guessed everything I did the more I started to second guess myself and the more timid I became. I felt like I couldn’t even use my own nursing judgement because my preceptor would tell me I need to do this or that. I felt like a new grad nurse all over again.
I knew transitioning from traveler to staff would have its bumps in the road but now I’m really questioning whether I still wanna deal with this level of stress and headache, especially for staff pay. I’m trying to stay positive but I don’t know if bedside nursing is even for me anymore. If you’ve made it this far thanks for listening to a tired nurse and drop some words of encouragement if you have any.

I’m a 4th year pharmacy who is interested in going into veterinary pharmacy potentially and am blessed with a wonderful preceptor for my first 4th year rotation (at a hospital) who is allowing me to cater some of my projects to veterinary pharmacy. I’m looking for any advice on any topics/diseases that might be interesting for me to cover that involve medications.
I just did a journal club looking at a trial involving the use of TPA in feline aortic thromboembolism.
Thanks in advance!!

Hello everyone!
I’m currently a student nurse slated to graduate later this year. I’m really really interested in working in oncology after graduation but had a few questions.
Every person I talk to, mentor, preceptors, professors, all suggest working in med surg first. I don’t mind med surg but it’s not my thing mainly because it’s so broad and I don’t really enjoy the patient population or terrible ratios in my part of the country.
I also spoke to a med surg nurse who, while this is just one experience, told me they could not transfer to a different unit from med surg after trying for years. Idk how true this is but it made me more apprehensive about starting in med surg.
I know this may also sound anecdotal but several colleagues of mine, as well as active RNs, told me oncology units tend to serve as overflow units or just be kind of slow. I’m not interested in super fast paced like ER, but I do need a little bit of hustle. I guess that’s more unit/hospital dependent. I just want an oncology unit that has majority oncology patients.
I was just wondering how true these things were for past and current oncology nurses. I know many are anecdotal, just looking for positive experiences and reinforcement.
Also, if anybody went into oncology as a new grad or transferred specialties how was the learning curve?
Thank you! 😊

This is my first post here. I have always value the encouraging responses. RN for 14 months. LPN for 8 years. Did 10 months as RN in rehab. Hospital. Quit due to toxic work environment. Start on med surg floor almost 3 mnonths now. No support from staff. Only oriented for 6 weeks. Doing 12 hrs night. Never did epic before. Preceptors horibble. I have always felt like Im on my own. This nurse very passive aggressive towards me when I gave report to her. Management ask how Im doing and I told them who she is treating me . Now this vindictive person is try to get me fired. She told them Im not hanging my antibiotics and refusing to give pt pain medicines. Everytime I gets report from her she always have medication she did not do on her shift and reschedule it to my shift. Im always having to play catch up because my med pass is so heavy. Always getting combative pt. I have to be calling code white for. When ever there is a CBI im the one that's getting it. Last night I didnt get s break. Had a fall from combative pt. Had a wound with maggot treatment that i had to change and saline soak q 4 hrs. Said nurse didn't hang her 7 pm IV antibiotic. Forgot that I hang hers and hang mine on schedule so i did it 2hrs b4 time. Management call me that Im putting pt at risk. Another mistake I did was administered ativan for alcohol withdrawal and did do the score, because no one show me how to do it. Because I never work in an acute hospital b4, they treating me as if im not a nurse with experience. So many times i have clean up their mistakes. Management want me to go back on 4 weeks orientation. I have applied to another location. Im I doing the right thing? Thanks for your advice.

Hello everyone,
Thanks for taking the time to read this. Ended up being a very long post. This is my first personal reddit post. I’ll give you the background about myself and then a snapshot of what I am struggling with now. I’m hoping that someone may be able to give insights as to what might be helpful.
I am a female, just turned 26 today. I have struggled with mental health for the better part of my life- low mood, depression, high social anxiety. I was diagnosed with major depressive disorder and social anxiety disorder in my very early 20s. Ive been working with my therapist who is also a clinical psychologist and I have also been recently diagnosed with autism. For the most part this had been extremely validating as I do believe the root of my social anxiety is having a hard time with social syntax, cues, understanding interactions, etc. I come from an ethnic background that is highly “traditional”, grew up with strict Christian parents. I while I do identify with Christianity, I have also been struggling with my sexuality so you can probably imagine why that is difficult. I struggle with this because I have no negative thoughts about the queer whatsoever community, however, the fact that I am highly resistant and distressed by the thought of me being not straight makes me feel as though I am a bad person/ have poor insight to an internal bias maybe. Along with being autistic, growing up as the only non-White person in my school, and feeling as though I never fit in, I feel this way about going to church and now my faith is something I struggle with because of the sexuality issue.
Now, I’ve always been described as ‘Type A- again, I think this may actually be the preference for routine and being rigidness in the way I perform as an autistic person. Heres the funny part- I am a registered nurse who works in psychiatry and currently in school for my Masters in nursing so you would think I have the answers to these problems loll. But I have always struggled with insight into why I myself struggle. Also, I think I like working in mental health because human patterns of behaviour don’t come naturally to me. Anyways, my other current distressing problem is that after 2 years of extremely hard work, with no breaks, working almost full-time hours at times, Im almost done this Masters degree but I’m getting so so burnt out that I don’t think I can do it. I only have 9 weeks left of a clinical placement. Just to top it off, my clinical preceptor is making my life a living hell- not providing thorough orientation, made me present at clinical rounds without preparation me, had me complete assessments and update the psychiatry team. I made a fool of myself because truly I wasn’t expecting to do this on day 1. She is wanting me to do more than my school is even suggesting- taking on the full clinical nurse specialist case load by week 7. She told me I needed to work on time management, mind you this is halfway through day 2 of her showing me how to do nothing. With the social anxiety, I have a hard time sticking up for myself and in general, its really frustrating when, as a student, I verbalize a need for support and it’s ignored. I also have a project that I am to be working on for the placement (policy implementation or education related) and she is wanting me to do an inservice presentation for several of the units. With how much Ive been struggling, limited time (9 weeks left), and extreme social anxiety, I just cant find myself to do that. I spoke with my school and I briefly talked about options I have. I feel ridiculous taking a 1 year leave (my next opportunity to finish clinical would be spring 2025) when I have a little over 2 months left but I’m crying everyday, having meltdowns, very overwhelmed, and with everything going feeling suicidal. I feel very embarrassed to tell everyone, especially family and friends who prematurely celebrated, that I won’t be graduating.
Had anyone else had a similar experience with their mental health or schooling? Any thoughts or suggestions on how to handle this? I just need some relief so badly but I want to finish school. Any contributions would be much appreciated, thank you so much.

Hello everyone,
Thanks for taking the time to read this. Ended up being a very long post. This is my first personal reddit post. I’ll give you the background about myself and then a snapshot of what I am struggling with now. I’m hoping that someone may be able to give insights as to what might be helpful.
I am a female, just turned 26 today. I have struggled with mental health for the better part of my life- low mood, depression, high social anxiety. I was diagnosed with major depressive disorder and social anxiety disorder in my very early 20s. Ive been working with my therapist who is also a clinical psychologist and I have also been recently diagnosed with autism. For the most part this had been extremely validating as I do believe the root of my social anxiety is having a hard time with social syntax, cues, understanding interactions, etc. I come from an ethnic background that is highly “traditional”, grew up with strict Christian parents. I while I do identify with Christianity, I have also been struggling with my sexuality so you can probably imagine why that is difficult. I struggle with this because I have no negative thoughts about the queer whatsoever community, however, the fact that I am highly resistant and distressed by the thought of me being not straight makes me feel as though I am a bad person/ have poor insight to an internal bias maybe. Along with being autistic, growing up as the only non-White person in my school, and feeling as though I never fit in, I feel this way about going to church and now my faith is something I struggle with because of the sexuality issue.
Now, I’ve always been described as ‘Type A- again, I think this may actually be the preference for routine and being rigidness in the way I perform as an autistic person. Heres the funny part- I am a registered nurse who works in psychiatry and currently in school for my Masters in nursing so you would think I have the answers to these problems loll. But I have always struggled with insight into why I myself struggle. Also, I think I like working in mental health because human patterns of behaviour don’t come naturally to me. Anyways, my other current distressing problem is that after 2 years of extremely hard work, with no breaks, working almost full-time hours at times, Im almost done this Masters degree but I’m getting so so burnt out that I don’t think I can do it. I only have 9 weeks left of a clinical placement. Just to top it off, my clinical preceptor is making my life a living hell- not providing thorough orientation, made me present at clinical rounds without preparation me, had me complete assessments and update the psychiatry team. I made a fool of myself because truly I wasn’t expecting to do this on day 1. She is wanting me to do more than my school is even suggesting- taking on the full clinical nurse specialist case load by week 7. She told me I needed to work on time management, mind you this is halfway through day 2 of her showing me how to do nothing. With the social anxiety, I have a hard time sticking up for myself and in general, its really frustrating when, as a student, I verbalize a need for support and it’s ignored. I also have a project that I am to be working on for the placement (policy implementation or education related) and she is wanting me to do an inservice presentation for several of the units. With how much Ive been struggling, limited time (9 weeks left), and extreme social anxiety, I just cant find myself to do that. I spoke with my school and I briefly talked about options I have. I feel ridiculous taking a 1 year leave (my next opportunity to finish clinical would be spring 2025) when I have a little over 2 months left but I’m crying everyday, having meltdowns, very overwhelmed, and with everything going feeling suicidal. I feel very embarrassed to tell everyone, especially family and friends who prematurely celebrated, that I won’t be graduating.
Had anyone else had a similar experience with their mental health or schooling? Any thoughts or suggestions on how to handle this? I just need some relief so badly but I want to finish school. Any contributions would be much appreciated, thank you so much.

Hi! I am starting my study prep for the RD exam after just completing my degree and rotation. A lot of my preceptors spoke highly of Inman, but I was wondering if anyone can speak to any major differences in the versions; 2022 vs 2023/2024? I appreciate any thoughts people can provide! Thank you!

hi! this post is an precursor to a theory me and a few others in the hsr community have been working on for months that i wanted to share.
to first establish the basis of this analysis / theory, barbelo is the real-life aeon of permanence, embodying the very concept of "stasis" and perfection as well as the androgynous one, the "mother" of other aeons and one of the precursors of babalon, the thelemaism goddess as well as babylon the great.
while, in honkai star rail, long (龙) is the aeon of permanence, one of THEIR "emanations", dan feng / dan heng has many partial inspirations to barbeinfluences in the great and babalon as well as various other mother deities, especially from hinduism, buddhism (tantric) and greek mythos.
this specific post, however, only really focuses on barbelo as the whole theory — which we call the Dan Feng / Mater Magma : the Revelations of The Xianzhou theory — contains unreleased content currently and is frankly too long at its current state for Reddit.
now, dan feng carries the same "triple androgynous name" imagery barbelo does through the known three names of imbibator lunae, as well as their meaning behind the names.
yubie is kalpytos, the hidden one — the known strongest, the one who the audience knows the less about and the one who carries the unknown "potential" behind his and shuhu's lore. dan feng is protophanes, the first appearing one — he's the one who first formed an identity outside of 'imbibator lunae' and the first stepping stone to dan heng's identity. dan heng is autogenes, the self actualised one — the true manifestion of dan feng as an individual, as a person and is formed from his own experiences and desires, rather than the expectations of the Preceptors.
another aspect of this analysis is also the idea of being a creator of other "aeons" or in this particular case, the creator of the new ichor line (this is connected to the babalon aspect and will be explained in the 3rd part).
it can be stated that bailu effectively works similarly to an emanation, born of dan feng who took an aspect of him and narrowed down on a certain interpretation of that power, similarly to how barbelo imposed power across other emanations.
barbelo also has connections to eternal life and the concept of water, especially primal waters. this is especially relevant as dan feng also carries those connotations. in the ireneaus book, "against heresies", chapter 29, book 1, it is stated that barbelos is the one that caused "eternal life" to be created from the monad, demanding that they are created for her to accompany her, similarly to how dan feng "created" eternal life. barbelo was also said to be created from primal waters when monad looked at THEIR reflections in the sea like how dan feng has connections to waters creating 'life'
barbelo also has sexual references, similarly to how dan feng also does (however, this aspect is way more relevant for the babalon section)
it is claimed by epiphanius that barbelo represents the idea of sexual libertinism with other researchers noting that tantric rituals were used to achieve henosis or 'spiritual oneness' through barbelo, which also partially explains his more sexual aspects in game.
all in all, there is quite a bit of gnostic influences in dan feng, regarding barbelo alone and i will release the full theory when 2.3 drops. thank you for reading!

First NP job, still orientation. Inpatient post surgery unit (mostly orthopedics. Hips knees etc)
A fair amount of the job is pretty straight forward, but when it comes to vte prophylaxis to send patients out on its a cluster.
Some of the surgeons have their own consistent regiments fine, but others it's like they make it up as they go, and I end up playing a game of phone tag with the residents to figure out what it is the surgeons want (the job involves a lot of discharging patients, thus ordering their post OP vte prophylaxis)
Are there any good resources that I can use to better educate myself when dealing with these situations?
Namly it's a huge percentage of the time of when do we send them out on nothing at all lovenox, heparin , baby aspirin, baby aspirin 2x a day, EC Aspirin 325, or on a patient who is already on a home regimen of something else for an underlying condition (ie Plavix and Aspirin) where everyone's minds explode and just straight up make crap
Yes even discussing it with my preceptors or the residents, a lot of time they just "straight up make it up". I'm not interested in becoming a hematologist or anything, but I would like to know enough that I could steer the ship in the right direction with some straight forward practical resources
Thanks so much for anything!

I’m entering into Imperial Knights and don’t want another “how do I start an IK army?” post with a response of 2-3 boxes Armigers and a Questoris, all magnetized. That’s been beaten to death on this sub.
While I plan on magnetizing away, I want a better sense as to what does each particular knight pattern specialize in, how do you strategically implement each into your army, and what are their weaknesses? Are some more melee focused, anti infantry, better abilities of buffs, etc.? Which models are great in 10th and which are trash?
Additionally, what allies are preferred for infantry, scoring objectives, and so forth? I see a lot of Callidus assassins in lists. Any other models worth including, like arbites, henchmen, or breachers?
Thank you in advance!
Dominus

• Knight Castellon
  
  • Knight Valiant

Questoris

• Canis Rex
  
• Knight Crusader
  
• Knight Errant
  
• Knight Gallant
  
• Knight Paladin
  
• Knight Preceptor
  
• Knight Warden
  

Cerastus

• Cerastus Knight Acheron
  
• Cerastus Knight Castigator
  
• Cerastus Knight Lancer
  

Armiger

• Armiger Halverin
  
• Armiger Warglaive
  
• Armiger Moirax
  

Hey everyone,
I'm about to graduate as a Psychiatric Mental Health Nurse Practitioner (PMHNP) in about a month, and I'm feeling pretty confident about my upcoming boards. However, I'm starting to get a bit nervous about finding a job in Las Vegas. I've been searching on sites like Indeed and LinkedIn, but there don't seem to be many job openings for PMHNPs. Plus, none of my preceptors are currently looking to hire anyone.
I'm wondering if it's common or advisable to take my resume directly into psychiatrists' offices and ask if they have any job openings. It feels a bit daunting, especially since I'll need to find a collaborator for my initial hours.
Has anyone here gone through a similar experience? Do you have any tips on how to approach local psychiatrists or other ways to find job opportunities in this field? Any advice would be greatly appreciated!
Thanks in advance!

I’ve been a CNA for 6 years and I’ve honestly hated the last 4 years or so of it. I transitioned from inpatient hospice which I absolutely loved to big hospitals. Right now, I have a PRN job that requires a minimum of two 12 hour shifts per month. I got the job in January for experience (it’s cardiac ICU-stepdown/telemetry floor at a big hospital). I was going to stick it out until I graduate from my nursing program in August, but I’ve just finalized my schedule of our last-semester internship. I need to work two shifts per week, I’m not allowed to work a certain two days per week (sorry, trying to be a little vague here for privacy reasons), and I can only work nights because that’s what my preceptor works. That coupled with classes two days per week and already feeling very burnt out at my position makes me want to resign, but I could really use some advice on if that’s a very unwise position. My parents think it is, but they’re also a lot older and have never worked in nursing.
I think they do have a point, though: I have a history of job-hopping when it comes to CNA positions. I’ve been in a total of five positions over the past 6 years, with the longest one being in hospice. Other than that one, I’ve never stayed in one over 6 months. I just get so burnt out with the amount of patients I have, sometimes up to 21. When I graduate, I will likely not be working bedside because it’s clearly not sustainable for my mental health (I have diagnosed anxiety and depression). I am afraid that if I quit yet another job after only five months, I could ruin any prospects of finding a job after graduating, which is what my parents have been telling me lol. On the other hand, even with all the jobs I’ve had as a CNA that I’ve quit so quickly, I’ve never had any problem getting hired again. I just don’t list them on my resume. I would probably be taking the hospital I work at off the list of potential employers though. This would be the second time quitting within six months for this particular hospital system.
Again, however, I’m concerned about the effects that putting so many hours into healthcare could have on my mental health. The culture where I work now is pretty bad. Coworkers talk horrendously about each other behind their backs and every time I come home from work, I just feel really down. I’m also just so done with being a CNA in general. It feels like an impossible job with so many patients, so little help, and virtually zero recognition.
I would greatly appreciate any advice anyone has!! If you think it would be worth it for me stick it out, I definitely want to know that too. Thank you 😊🩷

I’ve been a CNA for 6 years and I’ve honestly hated the last 4 years or so of it. I transitioned from inpatient hospice which I absolutely loved to big hospitals. Right now, I have a PRN job that requires a minimum of two 12 hour shifts per month. I got the job in January for experience (it’s cardiac ICU-stepdown/telemetry floor at a big hospital). I was going to stick it out until I graduate from my nursing program in August, but I’ve just finalized my schedule of our last-semester internship. I need to work two shifts per week, I’m not allowed to work a certain two days per week (sorry, trying to be a little vague here for privacy reasons), and I can only work nights because that’s what my preceptor works. That coupled with classes two days per week and already feeling very burnt out at my position makes me want to resign, but I could really use some advice on if that’s a very unwise position. My parents think it is, but they’re also a lot older and have never worked in nursing.
I think they do have a point, though: I have a history of job-hopping when it comes to CNA positions. I’ve been in a total of five positions over the past 6 years, with the longest one being in hospice. Other than that one, I’ve never stayed in one over 6 months. I just get so burnt out with the amount of patients I have, sometimes up to 21. When I graduate, I will likely not be working bedside because it’s clearly not sustainable for my mental health (I have diagnosed anxiety and depression). I am afraid that if I quit yet another job after only five months, I could ruin any prospects of finding a job after graduating, which is what my parents have been telling me lol. On the other hand, even with all the jobs I’ve had as a CNA that I’ve quit so quickly, I’ve never had any problem getting hired again. I just don’t list them on my resume. I would probably be taking the hospital I work at off the list of potential employers though. This would be the second time quitting within six months for this particular hospital system.
Again, however, I’m concerned about the effects that putting so many hours into healthcare could have on my mental health. The culture where I work now is pretty bad. Coworkers talk horrendously about each other behind their backs and every time I come home from work, I just feel really down. I’m also just so done with being a CNA in general. It feels like an impossible job with so many patients, so little help, and virtually zero recognition.
I would greatly appreciate any advice anyone has!! If you think it would be worth it for me stick it out, I definitely want to know that too. Thank you 😊🩷

98 days ago I had a STEMI in critical care as I was working (I posted about it then). Well today, I was attacked by wasps.
The story is absolutely hilarious. Basically I have a ridiculous dance to the song ‘Cotton eye Joe’ and my kids wanted to capture it on camera while I was grilling. So they turned the song on over the camera speakers and I went stomping away. Suddenly wasps flew up my shorts and attacked. So I used my epi pen (didn’t even know I was allergic until 5 years ago).
The physician who took care of me was always one of my favorites and he let me drive my care a little bit. The nurse who took care of me was brand new but I precepted her preceptor which was pretty cool. Both were very professional. The techs on the floor were great as well.
Full disclosure, I’m a huge HIPAA advocate but word got around that I was there as a patient (I didn’t make myself a privacy patient so it wasn’t hard to figure it out). I saw old friends that I typically only see when I’m transporting a high risk patient. So we were able to catch up a bit. Everybody was largely professional and took great care of me.
1 0.3mg epi pen, 50mg of Benadryl IV, 125mg soul-medrol, and a baby dose of epi IV. I’m already on norco and percocet due to military injuries so I’m largely covered with ice, a prescription for prednisone, and my home meds.
So thankful.

Hey, 3rd year DO student here planning on applying EM! I have a question about letters. I have two audition rotations set up for August and September that I plan to request SLOEs from. However, one of the programs I'm looking at states they want "two letters of recommendation and one SLOE". Are there any specialties that carry more weight for these regular LORs? I was thinking of asking my IM hospitalist or cardiology preceptor and non-residency affiliated EM elective preceptor to write me these. Any insight would be appreciated! Thanks!

Is it like working with a preceptor for the first 3 months before working independently? The only thing I was told was the two day orientation program. I’m not a new grad but only 2 years of experience. First time working under the H+H system. Thanks in advance.

Hi everyone, I'm a new nurse currently orienting at my first job at a step-down unit, and I'm looking for some help on IV drug administration protocols. Specifically, I'm confused about when to administer IV infusion drugs as a secondary with a bag of NS as a primary versus running them by themselves as primary.
During my orientation, I've got some conflicting responses from my preceptors, which has left me feeling unsure about the correct approach. One mentioned that the order should specify whether to run the drug as a secondary with something else, while another didn’t clarify.
Also, when administering IV drugs as secondary with NS as primary, I've seen my preceptors inputting "20-20" for the rate and VTBI for the primary. But I'm not sure about the rationale behind using this specific rate.
I apologize if these questions seem basic, but as a new nurse with a lot of anxiety, I want to learn and make sure that I know what I’m doing before being on my own. So any help or advice would be greatly appreciated.
Thank you!