Sacrificial heart timeline problem

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VernerHolt#3529 wrote:

Just what the title says, assuming you didn't complete the quest, even if you got the heart, and simply proceeded, as one might, to deal with Doryani without first making a point of completing the quest for sacrificial heart, there doesn't appear to be ANY mentioned or viable method to resolve said quest, meaning, you're permanently 2 passive points short on the build, as difficulty change no longer works?
Seems like a pretty significant oversight? I get it, mistake on the players behalf but it seems like a pretty significant issue that a lot of players may encounter over time. Some method to resolve said quest would be a decent addition.