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If you give her all three marks, she will disappear and he will be happy but feeling left without purpose. He will head up to the Cathedral rooftops and stand next to an edge, feeling lost.
If, before you find him up there, you head down to Ludovico in town (the window in the church who wants you to collect remains) he will mention Cleofás and give you an item to give to him. If you do so, this will save Cleofás' life and he will head to the church and teach you a prayer.
If you don't get the cord, Cleofás will throw himself off the rooftops the second time you enter the screen.
If you put the lady out of her misery rather than giving her the marks, Cleofás will leave as before, but this time he'll head up into the jails where you can find him if you have the Key of the Inquisitor. Give him the cord there and he will head down as before.
So really, the Lady of Perpetual Agony is a trigger for a quest.