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Why is the beginning so hard?

Because the night before the HUGE BATTLE Geralt did body shots off Triss for half the night, then they both got hopped up on fisstech and ploughed into the wee hours of the morning. There was a lot of vodka and fisstech involved; precisely, the purchase consumed your entire fortune from Witcher 1, except for 300 orens or so. As a result, our hero is severely hungover and AFO on top of that.

As for the dragon. Let your companions tank, use bombs, use Axii, and Quen.