No. Choosing “This is sick” or staying silent during the Blood Mass does not change the main outcome of the scene.
The choice looks important because the game gives you a timed decision, but both options lead you through the same part of the story.
The difference is mainly how Coen reacts in the moment.
What Happens If You Choose “This Is Sick”?
Coen openly reacts against what he is hearing during the Mass.
You get a small dialogue reaction for speaking up, but it does not stop the ritual or send the story down a different path.
The Mass continues either way.
What Happens If You Stay Silent?
Coen keeps his thoughts to himself and does not speak up during that moment.
This avoids the immediate reaction you get from choosing “This is sick,” but the overall result is still the same.
You do not miss a different quest path simply because you stayed quiet.
Does This Choice Change the Story?
No.
This particular decision does not create a separate story branch.
The scene continues toward the same events regardless of which response you choose.
That is worth knowing because other choices in The Blood of Dawnwalker really can have consequences. This just isn’t one of the major ones.
Is There a Better Choice?
Not really.
Pick “This is sick” if that feels like the response you want Coen to give.
Stay silent if you would rather have him keep his head down.
You don’t need to choose based on a reward or worry that one of these two options will lock you out of something important later.
Quick Answer
“This is sick” and staying silent lead to the same main outcome in The Blood of Dawnwalker.
Speaking up changes the immediate dialogue, while staying silent keeps Coen quiet, but neither option creates a different quest or story branch.
So for this particular choice, pick whichever response fits how you want Coen to react.
