"The picture book has changed and the tragedy of Pama drowning has been averted."
Completing this quest uses the Lake Drop, which is also a collectable objective for a future Colony 6 quest Matryona's Answer, which makes that quest as well as two preceding quests, What is Love?! and What is Courage?!, unavailable. Completing quest Spirits Raised instead does not use the Lake Drop, allowing these later quests to be completed.