Baldur’s Gate 3: Should you let Astarion drink your blood in BG3?

There's a lot at stake.
Baldur's Gate 3's Astarion has his hand on his chin, pondering
Image via Larian Studios

In Baldur’s Gate 3, you’ll have to make decisions that affect the story’s development or your relationship with certain characters. One of the decisions you’ll have to make is whether your companion Astarion drinks your blood. 

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If you need to decide if you should let Astarion drink your blood in Baldur’s Gate 3 and don’t care for spoilers, here’s what happens, depending on your choice.

What happens if you allow Astarion to bite you and drink your blood in Baldur’s Gate 3?

The back of a man in black armor with a large knife in Baldur's Gate 3
Astarion is one of the companions in Baldur’s Gate 3. Screenshot by Dot Esports via Larian Studios

After finding Astarion and eventually letting him drink your blood in Baldur’s Gate 3your approval rating with Astarion will increase, and it will be easier for your character to engage in a romance with him later in the game.

Letting Astarion drink your blood in Baldur’s Gate 3 will also give Astarion the Vampire Bite action. Here’s what this combat action does:

  • Astarion drinks the blood of a creature and regains 2d4 hit points. Whoever is targeted will take 2d4 Piercing damage.

If you let Astarion drink too much of your blood in Baldur’s Gate 3, it can lead to your character’s death. The odds of this happening are low, though, as you’ll be able to stop him from drinking your blood twice. You’ll do a die roll to pass those checks; if you succeed, you’ll only take a bit of damage.

If you don’t stop Astarion from drinking your blood in those two opportunities, your character will die, and you’ll take control of another party member. Don’t worry; your character won’t be gone for good, as you can use a Scroll of Revivify to bring them back to life with one HP.

Do you get any ailments or buffs for letting Astarion drink your blood?

If you let Astarion drink your blood, your character will gain a status ailment, or debuff, called Bloodless. This means that your character will get the following: 

  • Minus one in Attack Rolls
  • Minus one in Saving Throws
  • Minus one in Ability Checks

Does Astarian get any ailments or buffs for drinking your blood?

If Astarion drinks your blood, he will get a Happy status effect and gain the following the next day:

  • Plus one in Attack Rolls
  •  Plus one in Saving Throws
  •  Plus one in Ability Checks

How long do the status effects and ailments last?

The ailment you receive and the status effect Astarion gets will last until your next long rest. You can then let Astarion drink your blood again, or he can fend for himself.

Do you turn into a Vampire if you let Astarion bite you?

No, you do not turn into a vampire if Astarion bites you. Put plainly, Astarion is not a full vampire but a vampire spawn. Therefore, he does not have the power to turn you into a vampire or a vampire spawn. At most, you gain a nasty stat, Bloodless, and at best, you gain Astarion’s approval along with Vampire Bite.

What happens if you don’t let Astarion drink your blood in Baldur’s Gate 3?

Man leaning towards sleeping woman in BG3
Astarion is quite devilish as he attempts to drink your blood. Image via Larian Studios

If Astarion doesn’t drink your blood in Baldur’s Gate 3, your approval rating with him will go down. Players were worried that Astarion would die if he didn’t drink their blood, but don’t worry because that isn’t possible.

Should you not allow Astarion to drink your blood, he’ll hunt a wild animal, drink its blood instead, and unlock the Vampire Bite action either way.

What happens if you try to Stake Astarion in Baldur’s Gate 3?

Man with white hair holding his chest in pain in BG3
I don’t think this is the steak he was hoping for. Image via Larian Studios

Being a walking blood bag may not appeal to some, so you can choose to stake Astarion in BG3. But before you can stake him, you must pass a Strength check, and you’ll need to roll a 14 or higher.

If you pass the Strength check, you will pick up a stake and stab him through the heart. And like most creatures stabbed through the heart, Astarion will die.

The odd thing about this is that a cutscene will play, and you’ll go back to sleep as if nothing happened, and you’ll wake up with him still dead beside you. Your companions won’t seem all too sad about it, either. Brutal.

Tip:

Killing Astarion will ultimately end his questline, so make sure it’s for sure what you want to do. This decision doesn’t serve the player positively at all.

Decision time: Should you let Astarion drink your blood in BG3?

Whether you should let Astarion drink your blood in BG3 boils down to personal preference, whether he’s someone you want to romance or if you want to buff your Rogue. I chose to let Astarion drink my blood because, as a Rogue, he is often the first to attack in BG3’s turn-based combat, and I want him to have as much of an advantage as possible.

The downside is losing one point in Attack Rolls, Saving Throws, and Ability Checks. But if you have equipment that can boost your abilities, you won’t notice it as much. You can always switch to another character if you need to perform certain ability checks.

Tip:

There is an achievement for letting Astarion feed on you, so doing so on at least one run is worthwhile for both the achievement and the experience after that.


Ultimately, it’s really up to you and your plans for Astarion that will determine whether you should let him drink your blood or get a stake through the heart in BG3.

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Shadowheart in Baldur's Gate 3 stands with her arms out in front of her.
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