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Pillars of Eternity

Walkthrough, Game Guide & Maps

Brackenbury Sanitarium - Defiance Bay - Pillars of Eternity

Brackenbury Sanitarium - Defiance Bay - Pillars of Eternity Walkthrough and Game Guide describes all the important locations in Pillars of Eternity game. Here, you will learn which NPC you should see in order to receive a quest and where to go to complete it. All major locations are accompanied with maps. The following elements are marked on the maps: characters we meet in the game world, hidden secrets, chests and other treasure containers, crafting ingredients, traps, secret passages, aggressive opponents, and bosses that are especially difficult to defeat.

Brackenbury Sanitarium Map - Defiance Bay - Pillars of Eternity
Brackenbury Sanitarium Map - Defiance Bay - Pillars of Eternity

Sanitarium is in Brackenbury district of Defiance Bay City.

You come here for A Voice from the Past Quest from Copperlane (09)

01 Entrance from Brackenbury (06)


Retrieve Helig's research from Moedred's laboratory.

I've entered Brackenbury Sanitarium. According to Helig, Moedred keeps everything of value in a trunk in his laboratory. He's given me a key to open it.


NPC: Head Warden Ethelmoer


A bald man with a crooked nose gestures in demonstration over the still body of a patient before a small gathering of interested onlookers. Feeling your gaze, he pauses his discussion.

NPC: Audmer


NPC: Moedred

A Voice from the Past

Moedred confessed to killing Helig, but he also explained that Helig was a vile and dangerous man. I could continue helping Helig, or I could return to the catacombs and finish what Moedred started.

Later in time ...

Aloth your companion got quest to do. For me this quest starts after finishing Temple of Woedica. Just talk to Aloth.

QUEST: Two-Sided Two-Sided

Aloth revealed that an Awakened soul, Iselmyr, dwells within him. He's asked for help in finding an expert who understands his predicament.

Find an expert on Awakenings somewhere in Defiance Bay.

Aloth mentioned that Defiance Bay has an entire institution devoted to the study of illnesses of the soul. This must be the same place that I saw in the Acolyte's vision.

I may be able to find someone there who knows something about Awakened souls.

It appears that Brackenbury Sanitarium is our best hope of finding help for Aloth.


For Two-Sided Quest

NPC: Head Warden Ethelmoer

Find an expert on Awakenings somewhere in Defiance Bay.

I've been told to look for someone named Bellasege. She works on the lower floor of the sanitarium.

For The Man Who Waits Quest

Speak to the Head Warden of Brackenbury Sanitarium.

I should confer with the head warden of the sanitarium, Ethelmoer, about how to proceed with my search for the Leaden Key there.

Question the animancers about suspicious activity.

Head Warden Ethelmoer invited me to speak to the animancers in the sanitarium and see if they've noticed anything unusual that might point me to any Leaden Key involvement here.

Later in time ...


NPC: Moedred

Moedred mentioned that the sanitarium patients are more agitated than normal, and that Caedman Azo is responsible for their care.05

ITEM: Chest

You got Moedred's Trunk Key from Helig. This is a chest to open with that key, but do not open it. Its a trap against Moedred, and he will die.


A woman paces back and forth, her feet crunching on the soft red carpet. She gestures and mumbles to herself, shaking her head as she pores over pages of notes.

She almost walks into you. "Eccosi! Here I am, looking so hard for answers in my research that I do not see the kith standing in front of me. What can I do?"

NPC: Bellasege

For Two-Sided Quest

It seems that Iselmyr can be a source of both help and harm to Aloth. On the one hand, she steps in when he's under pressure, but on the other hand, she doesn't always resolve situations the way he'd like.


ITEM: Note from Azo for The Man Who Waits Quest

Talk to Ethelmoer about Azo.

Caedman Azo was absent from his office, and he's evidently been running some secret experiments. I should take this up with the head warden. Whether this is connected to the Leaden Key's operations remains to be seen.

NPC: Riply

Return to Sanitarium (02)


NPC: Head Warden Ethelmoer

Talk to Ethelmoer about Azo.

Investigate the patient ward.

I have been given access by the head warden to enter the patient ward. The animancer in charge of the patients, Caedman Azo, has been running unauthorized experiments. His suspicious behavior is my best lead toward finding the Leaden Key agent.


Go deeper inside Sanitarium


NPC: Freyol

Interview Gram in the North Ward.

Freyol mentioned a man named Gram in the North Ward who has also been a frequent subject of Caedman Azo's experiments, and that Gram doesn't seem to be volunteering for the experiments. Gram may be able to shed light on whether Azo has been working with the Leaden Key.

Freyol mentioned that Caedman Azo is the only one with access to the North Ward.


NPC: Caedman Azo

Talk to him and request a key.

I received the key to the North Ward from Azo. He was not pleased to give it.

ITEM: North Ward Key

11 Entrance to North Ward

Use North Ward Key.


This man has the look in his eyes of a hunted animal, and at your approach, he staggers backward to the far corner of his cell, halfway appearing as though he would climb the walls if it would get him farther away from you.

He cries out - a bizarre, primal utterance like nothing you have heard.

Gram looks at you blankly. It is unclear whether he understands you or not, but his panic has momentarily subsided.

He opens his mouth to speak, but the words that come out are half-formed, as though his tongue were cut out. They are impossible for you to discern, if indeed they are words at all.

NPC: Gram

Look into his soul.

Speak to the patient at the end of the hall.

A look into the soul of a half-crazed patient named Gram revealed strange behavior by a boy at the far end of the North Ward.


A willowy adolescent boy stands in the center of his cell, gawkish and stoop-shouldered. He stares straight ahead, the occasional blink his only movement, and it is unclear whether he registers your presence at all behind his glassy, doll-like eyes.

NPC: Uscgrim

Reach out for his soul.

Subdue Uscgrim.

I have discovered that the patient Uscgrim has been possessed by the man I've been searching for. He must be subdued so I can learn from him how I might be able to undo my Awakening.

I uncovered a Leaden Key operative in the sanitarium. He has the ability to possess those with weak souls, and was using one of the patients to influence Caedman Azo's animancy research.

Fight your way out killing all enemies


You can now enter this room now, its nothong special here.


Return to Head Warden Ethelmoer and tell him about whats happens.

For Clandestine Cargo Quest


NPC: Nans

I paid Nans to repair the scepter. The process was expensive, but the restored scepter is a powerful

ITEM: Engwithan Scepter

Map Legend

Location - An in-game location; POI (Point of Interest). The sequence of numbers shows suggested order of visiting the locations.

Starting Quest Location - This is the location where you find the quest giver. It can be an item, a person or a place.

Entrance / Exit - Exit from this location/map or Entrance to another location/map, house, dungeon, area, cave, etc.

Secret - You have to be in "Scouting Mode" to discover secrets. It can be a hidden switch, a chest with treasure, a secret door or just a hidden item.

Container - Chest, box, crate or other container that can be plundered for useful items.

Crafting Ingredient - Crafting Ingredients used for making potions and scrolls or for weapon and armor enhancements.

Worth Checking Out - Items and places that are out of the ordinary or just worth checking out. These are also items you must use.

Traps - You have to be in "Scouting Mode" to discover a Trap. Traps can be disarmed if your character has the appropriate skill.

Common NPC - Some of them have their own stories that you can learn by using the "Reach out for the soul" option.

NPC Quest Givers - Important NPCs; they give us Story Quests, Quests and Tasks.

Merchants NPC - Traders & Merchants; they buy/sell items.

Enemies - Hostile NPCs; Animals and Monsters. They attacks on sight.

Bosses - The most difficult Enemies; Bosses or enemies that are hard to kill at this point of the game (i.e. when you first encounter them).

All your comments, suggestions and corrections are very welcome. Your experience helps other players. We invite you to add comments, thank you.

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