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A Fork in the Road is a mission in Red Dead Redemption 2.


Once Arthur arrives near the mission area, in Saint Denis, he suddenly starts having a major coughing fit until he passes out. He wakes up to find a stranger dragging and helping him to the doctor's office, where he is greeted by a spooked receptionist, prompting her to call on Doctor Joseph R. Barnes, who brings him to his surgery room. Before he starts examining him, he asks for a payment in order to help him, which Arthur quickly gives.

After an examination of his ear, breathing, and mouth, Arthur is then given the diagnosis of tuberculosis. Upon hearing the bad news, Arthur expresses disbelief. The doctor informs him that tuberculosis is a progressive disease, and gives Arthur advice to go somewhere warm and dry. Arthur responds with sarcasm and says it isn't possible, then begins to get up and leave.

Before leaving, Dr. Barnes injects a syringe with steroids into Arthur's arm, in order to give him "a little bit more energy" for the day. Arthur subsequently exits the surgery and falls into a trance, remembering various quotes from people that differ according to Honor level.

High Honor: The colour scheme of Arthur's trance is golden yellow, reflecting sunlight. The quotes Arthur recalls are positive, reassuring and reflective, with somber music. At the end, Arthur sees a buck in the distance that gazes at him before running away and disappearing.

Low Honor: The colour scheme of the trance is grey, reflecting fog. The quotes that Arthur recalls are negative, foreboding and defeatist, with ominous music. At the end, Arthur sees a coyote gazing at him in the distance before scarpering away and vanishing.

Gold Medal Objectives

  • Complete within 3 minutes and 5 seconds.

Video Walkthroughs

Background Music Played in the Mission


  • Once this mission is completed, Arthur will be sick with tuberculosis for the remainder of his playthrough, which also reduces all of his cores by 20%. He will also gain a limited amount of benefits from food and drinks, resulting in only coughing and a pop-up reminder of being sick if he has too much. The only way to fully refill any cores if fully empty while sick is to sleep. Additionally, Arthur will lose his stocky appearance and will look underweight, even at perfect weight, after this mission.
  • During this mission, when Arthur discovers that he has tuberculosis, Dr. Barnes comforts him with a line that Arthur will remember on his final ride in the "Red Dead Redemption" mission if his honor is high: "I'm really sorry for you, son, it's a hell of a thing."
  • One of the lines that Arthur remembers in this mission if his honor is high is "If we don't stop soon we'll all be dying", said by Hosea in "Outlaws from the West". However, Arthur wasn't present when Hosea said this, so he therefore wouldn't remember it.
  • If Arthur does not have any money on him, the Good Samaritan will give him ten dollars so that he can pay for the doctor visit.
  • This is the only mission that isn't marked on the map. It is triggered when visiting Saint Denis, typically as the player is attempting to meet Sadie Adler for the mission "Icarus and Friends".
  • The name of the mission is a metaphor for a deciding moment in life or history, when a major choice of options is required.

Lines recalled in previous missions

High Honor

Low Honor


Red Dead Redemption 2 mission walkthroughs
Chapter 5: Guarma
"Welcome to the New World""A Kind and Benevolent Despot""Savagery Unleashed""Hell Hath No Fury""Paradise Mercifully Departed""Dear Uncle Tacitus""Fleeting Joy""Icarus and Friends""A Fork in the Road""That's Murfree Country"
Chapter 1Chapter 2Chapter 3Chapter 4Chapter 6Epilogue, Part 1Epilogue, Part 2