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The game is still too new to be 100% sure of everything. So much of this game is dynamic and semi-random as part of the world simulation that it's just going to take a while of people playing the game and seeing what random stuff happens at them and writing it all down.
I just got it. Gave her flowers. You got to do two or three times, but have to pass time in between. I think on the third day I got the to e.
Recent reports are that you need a rest between level gains of affinity.
I tested this and can confirm it works.
Use the Brothel 3 times (I used the same courtesan) they will give you the Chirurgeon's tome if you speak to them afterwards.
What u mean replaced? AS in you sold it by mistake or?
But i got Chirurgeon's Tome from Vergil after complete Sphinx Quest. I saw that the NPC was about to return, so I gave it a Ferrystone, then the NPC gave a Chirurgeon's Tome as a reward. But it probably comes from affection
So Im trying to search google if there's alternative way, so I found this topic and came to answer.