Everything here tracks. Case and point, no option to tell her "I don't give a shit, I'm taking you back to the camp".
You can promise Marika to exchange the letter for the amulet and then say to the gypsy honcho "Fuck Marika, here's the letter". Not sure what happens next tho.
In one side quests an old wench asks you to bury her allegedly suicidal husband in the consecrated cemetery and you can refuse with "No, that's a sin".
Plenty of opportunities to play as a goody two shoes Christian or an asshole but it's not consistent across all quests. There's a lack of the option to play as a Codexer and say to the gypsies "Fucking darkies, go back to where you came from" but I guess you can't expect that in 2025, not even from Warhorse.