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but what is a person if not their memories? karlach does change after turning but she still retains what made her, her, tho again, she changes a lot from that point onwards, potentially same for a player character
as for an example of a "cure" for a realized ceremorphosis is to retain some body part from the original body and getting someone that can cast (true)resurrection assuming the time limit for those spells hasnt elapsed, letting you revive that person from said body part(size isnt specified so could be just a finger)
tho im not sure if you even need to kill the flayer itself?
As to gnomes normally, yes, they become Gnome Ceremorphs rather than illithids if infected (if it works at all) but the tadpoles in BG3 have been altered by Netherese magic to work differently. Normally dwarf, halfling, dragonborn and tiefling PCs wouldn't be appropriate hosts at all. That would also cover Karlach of course and while elves are valid targets all forms of undead are not so Astarion would be off the menu too.
As to the PC, Karlach or Orpheus becoming a Mind Flayer that might (stress: might ) be a special case, due to the strange circumstances of that transformation. Notably Withers still refers to them as the same person and, as you noted, he would know. Also they are physically quite different (shorter height, smaller tentacles, different shaped head).
Under normal circumstances, yes, to get back someone whose body was hijacked to make a Mind Flayer you must kill the Mind Flayer first. But, as noted above, possibly a special case here.
Guardian and transformed PC/NPC for ending are imo lore/canon breaks.
To step outside BG3 and into a bit of broader Forgotten Realms lore:
Illithid can become undead, there do exist illithid liches (alhoon) and vampiric illithid- and to become undead of such power, one would, it is assumed, need something like a soul. Also, there actually do exist Illithid gods: Ilsensine ("The God-Brain") supposedly created the mindflayers, and Maanzecorian, the god of forbidden knowledge, is also said to be revered by Illithid.
Although I do not think that there are any clerics among illithid, and I would not be entirely surprised if the relationship between these gods and their illithid worshippers is very, very different than the one between regular gods and regular believers.
The only place they do tend to get religious is the city of Oryndoll because that city was almost collapsed by the revolt of the duergar and was saved by the manifestation of an avatar of Ilsensine. Naturally this caused the local illithids to put a lot more stock in him. So if one encounters an illithid cleric the smart bet says it's from Oryndoll.
What complicates this is the "transformation" thing. Because the transformed person clearly is of a different "soul" and religion, no? Initially, back in the day, mind flayers didn't turn other people into mind flayers. The tadpoles swam in the mother brain's pool and were tended to by mind-controlled slaves, and some tadpoles would grow into full flayers. The transformation thing came up with the "Monstrous Arcana" book iirc...
And we're not really sure if mind flayers actually do experience the same afterlife. Both of their canon origins in different editions (the future and the Far Plane) would suggest complications with that.
The "Illithiad" and BG 1 both came out in 1998.
The "future origin" does not interfere as they traveled back into the past. Mind Flayers do have deities, and they do have realms in the Outer Planes. The "Far Realm" came later.
I don't mind really if in this game, Jergal of all people states that for whatever reasons flayers have no souls... why even bother? I'm just giving my view as someone who comes from how the setting used to be.
Not a good argument to make. It has nothing to do with lore. And it comes from D&D which was not a precursor to AD&D, but a parallel development.
Anyway, why argue about this? I just offered my view on the topic.