I am having the same issue as other people in this thread. Lohse is my Avatar and my party consists of Fane, Ifan and Red Prince.
I think it has something to do with the save files maybe. The first time I went into Adramalikh's realm I decided not to snuff out the millions of candles and the quest continued without any problems. I soon realized that fighting the Doctor is incredibly difficult and I was on the edge between snuffing and not snuffing the candles anyway.
I load up the save before snuffing the candles and the bug occurs. The quest does not let me proceed unless I decide to teleport out of the realm via Waypoints.
I've tried loading up save files before the entire encounter with Malady, but that doesn't solve the issue either. I've heard if you reload the entire Arx chapter from the start you would be able to proceed, but I haven't done that yet so I can't confirm whether that is a potential "fix" or not.
