After killing Rom, you can return to Viola's house and speak to the girl's sister and give her the red ribbon. To talk to her, you need to have the outfit from the Healing Church (e.g. Return here after killing Rom, The Vacuous Spider in order to get One Third of Umbilical Cord. If you defeat Rom with Adella's Blood in your inventory, Adella will not kill Arianna. After defeating Micolash, Host of the Nightmare you can return to the Tomb of Oedon to find Arianna has given birth to a baby, gaining 3 Insight. When you will be in front of the Grand Cathedral choose the path on the left. If you accept Arianna's blood atleast 3 times before killing Rom.. After defeating Rom, the Vacuous Spider: ... and accept Adella's Blood when Adella reaches Oedon Chapel. Note: In the village, you can find Adella, who is connected with a side quest. Reload the area and go down the ladder to find a white messenger ribbon. Note: The big gate swings open only after the fight with Rom, The Vacuous Spider. This is from the wiki's Young Yarnahm Girl questline page. To stop Adella from killing Arianna, simply remove Arianna's Blood Vial from your inventory and instead take Adella's Blood. Note: In the same location, after you defeat Rom, the Vacuous Spider, a door to Yahar'gul, the Unseen Village will open. It remains lit, up until you have killed Rom, the Vacuous Spider. Hypogean Gaol is a location in Bloodborne, a subsection of Yahar'gul that can be accessed before the main quest takes the Hunter there. After you defeat him in Byrgenwerth, you will not be able to use it anymore. Adella is at the very bottom so, exit thee cage and go right, where you find stairs. Game Progress Route for Bloodborne is a guide for players to find a recommended path to complete the game.If you are new to souls games, we recommend reading the New Player Help and Combat pages so that you can understand the game's mechanics better. This makes her the best candidate to sacrifice, since the other three cord sources don't require you to give up anything. Further Guides are available here.. Game Progress Route for Bloodborne The old woman and skeptical man will just repeat the same dialogue for the most part. You're asking some spoilery questions that happen after Rom like what happens to Arianna and the Old Woman, but ask for no spoilers, but here you go, mostly spoiler free: All the people behind doors including the NPCs that you could have saved will go mad during blood moon or be killed by beasts (the ones in the chapel go a bit mad but the incense keeps the beasts away). To rescue Adella, you need to be kidnapped by a Death Dealer and carried to Yahar’gul, Unseen Village before you fight Rom, the Vacuous Spider. After you are killed by an opponent of this type, you will get to the Underground Jail. Along your path, you can also visit the room halfway through. 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