If by not having it the worst you mean cut content then maybe but that's likely due to the fact that karlach was a late addition to the line up. As for the gondians having no option with them just makes me feel like shit seeing the best blacksmiths around and not asking them about this hell cancer in her chest. Damon doesn't have to be the one to find a fix it was just an idea it would make more sense if he didn't have one since the engine in karlachs chest is likely using some kind of devil magic or some shit. Also saying karlach doesnt have it the worst in terms of cut content doesn't mean alot when she still has the worst ending of either lose your soul, die now, or die tomorrow. Her whole story is so pointlessly depressing it just makes me feel like they dropped a grim dark character into this fantasy setting instead of actually making a fantasy character that meshes with the world. The glaring plot holes around her story are so huge for such an otherwise great game it's infuriating.