I genuinely wonder how the Dark Urge will interact with Orin the Red. They must be related in some manner. Rivals? Siblings? Exes? The timing for the initial murder spree is also curious, taking place before Bhaal's total return with the death of the last Bhaalspawn. And what role does Sceleritas Fel play? Are we (the Dark Urge) the only ones who can see/hear him?
Sceleritas Fel was seen by Tav in Blood in Baldur's Gate, so it's safe to say he's not some hallucination, but that doesn't discount that he could still be an extension of the Durge's will, conscious or unconscious.