How To Save The Vyssa Hills Refugees In Hell Is Us

TL;DR

  • Complete Diana’s Death’s Door quest first by retrieving the Atenolol Pill Bottle near the Serpent Door
  • Handle the Voshes’ Man’s Best Friend quest in Act 2 by visiting Jova Village for the dog collar
  • Save Atticus’ escape plan for last as it automatically resolves incomplete missions
  • Follow the stone snake carving from main plains to locate the refugee camp efficiently
  • Avoid triggering Atticus’ plan prematurely to prevent missing critical mission opportunities


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Are you prepared to undertake the humanitarian mission of rescuing the Vyssa Hills refugees in Hell Is Us? These displaced civilians have fled devastating urban warfare but now face survival challenges in the wilderness. Crucially, if they evacuate the region too early, you’ll permanently lose access to several important questlines and rewards.

The Vyssa Hills refugee group consists of five key individuals: Diana Kos, a caretaker protecting young Dag Samson; married couple Alban and Esther Vosh who are searching for their lost pet; and Atticus Caddell, an escape coordinator with an evacuation strategy. Each character presents unique challenges and opportunities that require careful sequencing.

Strategic Note: Mission order dramatically impacts outcomes. Prioritize Diana’s and the Voshes’ requests before engaging with Atticus’ escape plan, as his solution will auto-complete certain objectives you haven’t manually finished yet.

Before initiating contact with the Hell Is Us refugees in Vyssa Hills, conduct thorough reconnaissance of the surrounding plains. You’ll identify an enormous stone serpent carving etched into the landscape—this geological marker serves as your primary navigation aid. At the serpent’s midsection, positioned immediately before the Timeloop anomaly and the Serpent Door, a luminous object awaits collection. Secure this item to acquire the Atenolol Pill Bottle, a critical quest item.

From this location, trace the stone snake’s contour and turn right after passing the Serpent Door. This serpentine path will guide you directly to the refugee encampment. Pro Tip: Activate your mini-map tracking for the stone formations to maintain orientation during low-visibility conditions common in this region.

Where to find the Vyssa Hills refugee camp and the Atenolol Pill Bottle

The Vyssa Hills refugees present multiple assistance requests. Diana Kos and her ward Dag urgently need the previously mentioned Atenolol Pill Bottle to manage a medical condition. If you secured this item during your preliminary exploration as recommended, simply exchange it with Diana immediately. This action finalizes the Death’s Door Good Deed and guarantees Diana’s survival through the crisis.

Critical Insight: Diana’s survival directly influences later game events, including potential ally availability in subsequent chapters. Common Mistake: Many players overlook this item initially, forcing backtracking that sometimes results in Diana’s demise if too much time passes.

Good Deeds: Death's Door and Man's Best Friend

Regarding the Vosh couple, they’re integral to the Man’s Best Friend side quest, primarily occurring in Acasa Marshes. When you progress to Act 2 within the main storyline, return to Jova Village and locate their canine companion to retrieve its identification collar. Presenting this item to Alban and Esther confirms their pet’s safety and well-being.

Advanced Strategy: Complete the Acasa Marshes exploration before reaching Act 2 to minimize travel time. The collar retrieval typically requires 15-20 minutes if you’ve previously uncovered the village layout. Warning: Progressing too far in the main story without completing this quest may lock you out of the Voshes’ gratitude rewards.

Good Deed: Heart of Gold

After successfully addressing the other survivors’ requirements, proceed with Atticus’ evacuation proposal. Essential mission details include:

  • Locate Atticus along the trail leading to Watcher’s Nest. His objective involves organizing a mass exodus, but he requires the ON truck ignition key to implement the escape.

    Mechanics Explanation: Atticus’ plan incorporates an automatic completion feature for certain outstanding missions. This design intentionally prevents soft-locking but can deny players the experience of manually completing certain narrative arcs.

    Where did all the Vyssa Hills refugees go?

    Optimal Route Efficiency: Plan your approach by combining multiple objectives in single excursions. The stone snake path serves as a central artery connecting multiple points of interest—utilize it for efficient travel between missions.

    Time Management: Allocate approximately 45-60 minutes for complete refugee rescue operations if following the recommended sequence. Rushing through these missions often results in missed contextual storytelling and reduced reward acquisition.

    Avoiding Premature Completion: The most frequent player error involves triggering Atticus’ escape plan before finishing individual character quests. This mistake forfeits potential unique items and character development moments that enrich the overall Hell Is Us experience.

    Character Interaction Depth: Beyond the mechanical completion, engaging in extended dialogue with each refugee before their departure reveals additional backstory and world-building elements unavailable elsewhere.

    Action Checklist

    • Explore main plains to locate stone snake carving and collect Atenolol Pill Bottle
    • Follow snake path to refugee camp, activating mini-map tracking
    • Complete Death’s Door quest by giving pill bottle to Diana
    • Progress to Act 2, then retrieve dog collar from Jova Village
    • Deliver collar to Voshes to complete Man’s Best Friend quest
    • Locate Atticus near Watcher’s Nest and assist with ON truck key retrieval
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