Should you save the brain in Baldur's Gate 3?

Baldur's Gate 3 starts off with a body horror bang as the Mindflayer puts a little tadpole with teeth in through your eye. As you begin your adventure to get off his failing ship, you'll hear a little voice calling for you. Instead of finding a helpless person needing rescuing, you find a man strapped to a chair with his scalp removed and his brain pulsing ominously. As Baldur's Gate 3 is an RPG, there's a choice to be made here: remove and save the brain, leave it in the man's head or destroy it, so let's look at what the best decision is...
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