A Friendly Game Enroute to the Hospital
Head down the stairs from where you find yourself after the cutscene and you’ll run into White Rayla. She’ll gloat about getting Toruviel killed before she challenges you to a friendly game of "kill the nonhumans" while you two head towards the Hospital-where Siegfried awaits. Since you’re allied with the Order, the Order soldiers will not be hostile, but there’s precious little reason to bother killing Scoia’tael, as both sides are endlessly reinforced. Travel south until you reach the Hospital in the middle of the area.
When you arrive at the Hospital, White Rayla will tell Geralt about how to find out more about Raven’s Armor, after declaring the Elf-killing endeavors a tie. A wounded Siegfriend in some swanky armor will whine, and Geralt will berate him for not staying away from berserking dwarves. Then Shani comes and either bitches at you, or is friendly, depending on whether you gave her Alvin in Chapter 3. Finally, a guard shows up and tells Geralt that the Striga has been seen near the tallest tower in Old Vizima. This updates the quests "Armor" , "Her Highness the Striga" , and "The Flame that Cleanses" .
Exit the Hospital and head to the Old Forge, which is south of the Hospital. Inside you’ll find your good old friend, the Order armorer from Chapters 2 and 3. Talk to him and ask him about Raven’s armor, and he’ll run down a checklist of things you’ll need. This starts the quest "Saint Gregory’s Litany" and update s "Armor" . You can also rest here, and shop, for what that’s worth.
|For learning more about Raven's Armor||1000 XP|
The Mutant and the Striga
Now it’s time to find our Striga. Head south until you find Kalkstein’s Laboratory, then turn north to find an alley populated by some Temerian soldiers. Trigger a cutscene near the base of the tower and fight off the Mutant that drops down using the Fast Steel Style. Kalkstein will show up after the battle and will show too much interest in the thing… as is usual for Kalkstein. He’ll call it a mutant, and make the obvious-and unsettling-comparison to Geralt. It seems Salamandra is getting better with its mutations, and they’re getting awfully close to creating Witchers. He’ll also share a rumor that points out an old church in the Swamp Cemetery as our Striga’s likely lair, and he’ll give us the book "Striga’s Urge" , in case we dispatch the Striga. This updates the quests "Her Highness the Striga" , "The Flame that Cleanses" , and "Sweet Revenge" .
|For destroying the Mutant||3000 XP|
Defending the Hospital
Return to the Hospital, where Shani will bother Geralt. They’ll be interrupted by a squad of Scoia’tael rebels who burst in, and as usual, they ignore our obvious badassness and try and kill everybody. Put them down, then talk to Shani again, who will complain about the immorality of the Scoia’tael.
Now that we’ve repulsed one band of Scoia’tael fanatics, everything is going to be awesome, forever. If you gave Alvin to Shani in Chapter 3, it’ll be time to talk about your relationship. Say whatever you want, like Triss earlier, you can either declare your love for her, or tell her it’s a dream.
|For saving the hospital from the Scoia'tael||3000 XP|
Head outside and you’ll find White Rayla, who has caught the attention of some Elves… and given the disposition of both sides, it’s not friendly attention. Fight off the Elves and White Rayla will invite you to the Order’s Command Post, to the west.
Inside, you’ll be pestered by an Order commander, who wants you to help the Order take the barricades from the Scoia’tael, lest the nonhumans take control over Old Vizima. Sure, in good time. Pick dialogue option #1 to opt to talk to White Rayla, first. When you get a chance to respond to her, pick any option, then when you get the choice to pick "I know other ways to tame you…" or "You’re mad." pick the first option to get the "White Rayla" Sex Card .
|For saving White Rayla and meeting up at the Command Post||4000 XP|
You’ll be given the chance to rest now, which honestly is pretty unnecessary on the normal difficulty. Rest, prepare potions, level up, or don’t, then head outside. Siegfried will approach and tell you that Rayla is trapped at the barricades, and suggest that you flank them. What, you didn’t think you’d get out of driving the Scoia’tael from Old Vizima, did you?
Take the road leading south-west from the Hospital to reach the barricade-opposite the Dike. Dispatch the Scoia’tael rebels you find and jead south until you reach the blocked door leading to the Solitary Tower, then turn west and blast some debris with the Aard sign to clear the way.
Take the new path you’ve opened and travel between the burning ruins, kill another band of Scoia’tael, Siegfried will encourage you to keep doing what you’re already doing, then you’ll meet up with White Rayla. When you reach some more debris blocking your way, blast it with Aard and slaughter a final group of Scoia’tael. When they’re all dead, watch White Rayla get shot down before you and Siegfried move on to the Swamp Forest. Another righteous warrior cut down by treacherous nonhumans. This completes the quest "The Flame that Cleanses" .
|For breaking through to the Swamp Cemetery||8000 XP|