The gnome gives him a special drink able to cure his father in a few minutes. Alex tells the gnome of his father's sickness, and the need for medicine. If Alexander introduces himself as Alexander, Graham's son, the gnome sees that Alex is carrying Graham's hat, and is telling the truth. The latter leads to the gnome casting Lightning Bolt at Alexander and killing him instantly. Alex travels to the gnome's house where the gnome asks him who he is, Alex has the choice of telling the truth, or lying that he is a soldier of Ravenlos. Rosella tells him to visit the Old Gnome for a cure before the king dies, and gives him Graham's hat so he can prove he is really Graham's son (it is unclear why the Old Gnome doesn't remember Alexander).
In King's Quest ZZT an Ravenlos casts an enchanted sickness on King Graham, making him unconscious.
