How to Beat Carmilla
First off, you are provided with pistol and shotgun ammo right before you enter the boss battle room with Carmilla. The game will enter into a cutscene explaining more of the story, which you can skip if you want, but either way once it’s ended the attack begins. You start in the lower right of the room as pictured above. Carmilla is fast and will come running down to you immediately. Your stamina depletes too quickly to stay ahead of her, so trust me, don’t bother. Instead pay close attention to the image above. These pedestals of blood will refill Carmilla’s health entirely if you let her touch them, but even if you get her health down significantly she’ll just run to one of them and refill herself. You do not have enough ammo to let her do this! Instead, notice how I’ve positioned her above at the first pedestal located in the lower right of the room where you first appear.
As you can see, the blood is depleted in the pedestal (it would be a red circle otherwise). You can do this yourself by shooting them, but save your ammo. Instead, maneuver yourself so that Carmilla cannot get around the pedestal. After a short time, as shown in the image directly above, she’ll stop moving and aim her eye beams at you. After a few moments she shoots out a flush of blood that will kill you instantly, but you can dodge it using your run and depleting some of your stamina. The trick, then, is to let her deplete the blood from each of the six pedestals in the room, let her aim her eye beams at you, run towards the next pedestal on the left (she pauses as she aims so you can get ahead), dodge the blood flush when she releases it, and then position yourself at the next pedestal so she cannot get around to attack you. She’ll deplete the blood, then you repeat the process counterclockwise until you’ve gone around the entire room and all six pedestals are empty. Then, and only then, can you kill her. Shoot her first with the pistol, and then the shotgun. Reverse order is also possible, but I armed my pistol upon first coming to the room just in case I accidentally wasted a shot. The shotgun is more powerful so you want all of those. Once you get it down you’ll kill her no problem! Enjoy the ending and get ready to find the alternate endings as well!