Queen Annalise | Side quests Bloodborne Guide

Put the crown on and approach the throne.

Annalise is the Vilebloods leader. To talk to her, after you visit the Cainhurst Castle and defeat Martyr Logarius, pick up his crown and approach the throne. After the cutscene, at the end of the rooftop, a secret passage will be revealed. Inside, you encounter the Vileblood queen on the throne.

If you want to join the covenant, approach the queen. After you make the oath, you receive Contamination rune (the covenant symbol), Cainhurst Castle Badge and Respect gesture.

Note: While Vileblood (with the rune on) for killing hunters and some NPCs (e.g. Alfred) you receive blood dregs. Take one of them to the queen to receive the Deep Respect gesture

The death of the queen can be averted.

Annalise intertwines with Alfred, who kills her after he gets the Unopened Summons, that you find in the chamber. Then, after you go to the Queen's Chamber, you find him over the remains of the queen. Approach the throne and pick up Queenly Flesh from the corpse.

The altar that revives the queen of the Vilebloods, Annalise.

After the fight with Ebrietas, Daughter of the Cosmos in Upper Cathedral ward, you can approach the altar at the end of the location (the highlighted spot). After the queen is killed, bring here the corpse and lay it on the altar (if you have it in your equipment, appropriate option appears). Then, return to the Queen's Chamber to find out that Annalise is fine.