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Darkest Dungeon 2: How to Complete Plague Doctor Chapter 4 Failing Grade in DD2

Struggling to complete Chapter 4 of the Plague Doctor's story in Darkest Dungeon 2? Here's what you need to do.

The Plague Doctor hero story in Darkest Dungeon 2 is a captivating one, bordering on the likes of Mary Shelley’s Frankenstein. With her interest in reanimation, we get to see the result of her hard work in chapter four, Failing Grade. If you keep failing to complete this chapter, we’ll tell you how to complete Plague Doctor Chapter 4 in this DD2 guide.

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How to Complete Plague Doctor Chapter 4 Failing Grade in Darkest Dungeon 2

The Plague Doctor’s Hero story in Chapter 4 starts off with the reanimated corpse of her former professor walking around her laboratory. He’s unsurprisingly bleeding, with each turn stacking DoT another increment. The only two action choices you have are to:

  • Stabilize the Patient: This calms the professor for a period of time.
  • Stitch: This action heals the professor and cures Bleed.
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Don’t worry about Stabilizing the Patient. Instead, stitch him up until the Stab skill appears. Only then can you kill the professor and complete Failing Grade successfully. This may take a few times using Stitch and then letting his health fall low again until the option appears.

DD2 Plague Doctor Chapter 4 Reward

Once you’ve stabbed the professor to death, you’ll be greeted by the Victory screen. Completing Chapter 4 of the Plague Doctor’s background in Darkest Dungeon 2 rewards you with Cause of Death.

  • DMG: Target Variable
  • Cooldown: 2
  • Target: Deals 75% of remaining, Bleed, Blight, Burn on Target as DMG
  • Target: Remove Bleed, Blight, Burn

Cause of Death is a great skill if you’re heading into a boss fight where you’ll be stacking DoT that the boss can clear, such as the Librarian. Chapter 4 is also the last fight you’ll be doing for the Plague Doctor if you select her at another Shrine of Reflection.

That is how to complete Chapter 4 of the Plague Doctor’s Hero story at the Shrine of Reflection in Darkest Dungeon 2. If you’re stuck with any other hero stories or looking for more tips, check out our DD2 guides for assistance.


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Ashley Erickson
Ashley, otherwise known as Glitchiee, is an avid gamer of RPGs, TTRPGS, farming sims, and survival crafting games. Playing since she can remember, she started on the SNES, GameBoy Color, and collection 1st gen Pokemon cards. Using her passion for gaming, she's written about games for a combined total of 2 years.