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i'm not sure why they felt the need to inject some sidequest about killing an old man or a kid into having fun with a cute redhead, but this is empire which is made by sadists, so i guess it fits.
i don't even think either one of them actually die if you don't give them the medicine either, making this beyond pointless besides a point for demetrius if you save the old dude and a negative point if you save the kid