1

When going into fourth stage of vampirism I see the message:

As a Blood-Starved Vampire, you are hated and feared

But the only change I see is the slightly worse Weakness to Fire / Sunlight. I know that without the Dawnguard dlc 4th stage vampires were attacked on sight and that was removed but since I still get the warning I was wondering if there are any hidden negative effects, disposition penalty or anything like that ?

2

According to this site, the only negative effect is weakness to sunlight,

Weakness to Sunlight While outside during the day, health, magicka, and stamina are reduced, and the regeneration for each of these stats is reduced by 100%. The reduction increases with each stage of vampirism, as indicated in the table above. Day begins at 5am and ends at 7pm regardless of the visibility of the sun.

, but the rest of the effects seem positive for example:

Nightstalker's Footsteps A permanent active effect you gain from stage one onward that makes you 25% harder to detect while sneaking.

There is a total of seven positive effects, and abilities.

And by effect, I mean the abilities that are permanent.

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