I have never seen the creatures to respawn again, once they were killed in standard combat.

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    An OCD-like compulsion to clear every single icon on the map isn't enough? – Sterno Jul 16 '15 at 13:24
  • I don't suffer such condition :-) I mean, those bombs could be put to some real use right?! – Martin Jul 16 '15 at 13:33
  • @Martin Not really a concern since you can meditate for an hour or more and the bombs replenish if you have a strong alcohol. Also, strong alcohol is plentiful in the game – MonkeyZeus Jul 17 '15 at 18:34

In addition to repopulation in a very few areas (as mentioned by Aegis), you also get experience points and looting them yields materials. The bombs regenerate when you meditate, so for me it's an easy choice.

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  • Tested tonight, small amount of experience (I've got 30 points) and you get to loot the destroyed nest. – Martin Jul 16 '15 at 22:38
  • There's definitely good stuff in the nests. Make sure to check each one after you destroy it. – Bryan Pendleton Jul 17 '15 at 3:17

Some areas where the ghoul nests are will become repopulated with people again once the nests are cleared out. You'll know this because a cutscene will trigger with people returning to that area.

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  • Does this really happen after destroying the nests? Because I already cleared two such areas in Prologue, but it only involved killing the beasts. Not destroying their nests (as far as I can recall). – Martin Jul 16 '15 at 13:31
  • @Martin My observation matches yours. – Sterno Jul 16 '15 at 13:33
  • There was a little village off the coast of a part of Velen I found that was overrun with Ghouls and had a Ghoul nest too. After I cleared the village of them and destroyed the nest the cutscene triggered and people returned to the village. – Aegis Jul 16 '15 at 13:52
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    I believe this only comes into play where the nest is by an abandoned location (not common at all). – Broots Waymb Jul 16 '15 at 14:30

If you're in it for achievements, there's one linked to destroying all the monster nests in a region.

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