The Outer Worlds 2's 'A Most Extraordinary Specimen' companion quest for Inez leads you to a hidden lab on Cloister to investigate a secret grafting lab that was also conducting some not-so-savory experiments on the patients. After being contacted by one of Inez's friends, you'll be given the quest to pursue, and after making your way through the lab, you'll finally encounter Doctor Giles Rasmussen, who will try to explain that the sacrifices his patients made were for the good of the majority and were needed to pave the way for future developments. So, should you kill Doctor Rasmussen in Outer Worlds 2, or send him to continue his work at Ethel's Lab? Here's what you need to know.
Best Outer Worlds 2 Tips and Tricks
These beginner tips for Outer Worlds 2 will help both new and returning fans confidently tackle the challenges of the Arcadian system.
What Happens if You Kill Doctor Rasmussen in The Outer Worlds 2?
After hearing out the Doctor, you'll be given the option to let Inez take revenge on the doctor on behalf of her friend and kill him. If you let her heart take the lead and kill the doctor, you'll get the following:
- Mechanical Augmentation
The Mechanical Augmentation allows Inez to use her ability more often, which can be handy. However, if I'm being honest, it's definitelty the worst of the three potential upgrades you can get for Inez from this quest.
You'll also be able to take his keycard off his body to gain access to other areas of the lab you were previously locked out of.
Inez will be glad she took revenge on Trooper Ortiz, but that'll more or less be the end of this debacle. You'll then be tasked with returning to Ethel's lab on Paradise Island to fit the graft for Inez that you chose, and the quest will end.
What Happens if You Spare Doctor Rasmussen in The Outer Worlds 2?
First, it's worth noting that despite claims from other outlets, you don't need to have Speech leveled up to 17 to save Doctor Rasmussen and get this outcome. Instead, you need to follow the dialogue options below when speaking with Rasmussen and Inez at the lab:
- Nice try. We found records that prove he underwent surgery here. (Make sure you've checked the terminal in the room with the body in the tank in the lab to get this dialogue option).
- What were you trying to do with Ortiz and the others?
- Got any proof of that?
- Enough about you. Show me one good thing you've done for other people.
- Do you have a graft that could help Inez?
- This could be your way to prove yourself. Let's at least hear him out.
- His research could help so many others. The good might just outweigh the bad.
- This is a personal choice, Inez. I'll stand by whatever you decide.
If you deviate from these dialogue options, Inez may choose to kill the doctor. The only other way to guarantee Inez spares the doctor is to pass the level 17 Speech skill check on the final dialogue option.
If you choose to let Doctor Rasmussen live and convince Inez that he's better off alive, he'll thank you for your mercy and immediately give you the following:
- Ursopod Grafting Part
- Mantiqueen Grafting Part
Rasmussen will then make his way back to Ethel's Lab on Paradise Island. Return here and choose to fit one of the two grafts for Inez. There's no right or wrong answer here, just choose the one that you think best suits your playstyle.
The Urospod grafting part will allow you to reduce incoming damage when the ability is used, whereas the Mantiqueen grafting part will give you a Mantiswam hive that Inez can you to deal with a group of enemies, which is best for crowd control.
After speaking with Ethel, she'll explain that the horrors of the lab were something she'd have always been against, and that she'd recently been asked to have a private discussion with Willard Konnen, VP of Experimental Operations at Auntie's Choice. She'll give you her keycard, and you can choose to go and speak to him at Head Office Tower on the ACS Undisputed Claim.
Head here and speak to Konnen, who will grant you yet another quest that takes you to Praetor for a mission briefing for the quest 'Half-Truths in Advertising.'
Should You Spare or Kill Doctor Rasmussen in The Outer Worlds 2?
Despite Inez's desperation to get revenge for Ortiz, you're better off convincing her that sparing Rasmussen and having him work with Ethel Tinsley on this research is the better option. Not only is this the 'good ending' for this quest, so to speak, but it also nets you the option of either grafting part.
It's also the best way to ensure that you get the quest from Willard Konnnen.
Cloister Interactive Map
The Outer Worlds 2
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OpenCritic Reviews
- Top Critic Avg: 82 /100 Critics Rec: 87%
- Released
- October 29, 2025
- ESRB
- Mature 17+ / Intense Violence, Blood and Gore, Strong Language
- Developer(s)
- Obsidian Entertainment
- Publisher(s)
- Xbox Game Studios
