-( Story related, cannot be missed )-
After recovering your presence and attempting to piece together some of your sanity, you will skulk through the dredges of the docks in pursuit of what you think is your Maker. After meeting Doctor Swansea, you'll come to find that your pursuit is leading you further into the western docks instead. The first boss fight comes in the form of facing off against what will be known as a Lesser Skal. The early adoption of the dodge mechanics to rebuke your enemy's advances, then counterattacking, will be key to your survival in this grim landscape, so what better way to force you to get better at it than avoiding the advances. Should you need to and if you have it equipped, use the Stake with Triangle to attempt to stun your enemy (the stun gauge is underneath the health bar) and then feast on his blood. You can then use Autophagy or Blood Spear to retaliate further. Keeping your distance at times, while also letting the enemy go for the first strike, will be vital later on.
After the fight, you'll help Swansea move Mr. Hampton to the boat, and while you recover the blood sample from your foe's corpse, you must depart with Swansea in order for this trophy to pop.