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The Elder Scrolls V: Skyrim Game Add-Ons (DLC) Hints
Become a vampire or Become partially soul trapped.
1 of 4: This is a very sucky choice (vampire pun intended), but you're going to have to make it.
2 of 4: If you choose to be partially soul-trapped, you won't become a vampire, but your health, magicka, and stamina will all be lowered by 45 points each. (Not permanently, but only when you're in the Soul Cairn region.)
3 of 4: If you choose to become a vampire, the rest of this quest will go pretty much the same, except without the attribute drain effect. Also, you'll have your new vampiric form and powers to use.
4 of 4: Once you've made your choice, talk to Serana again and tell her what you chose. After you confirm it, you'll be back to the "Enter the Soul Cairn" objective.