Just finished a playthrough, there's a major bug with the quest "The Quarra Amulet", you can't turn in with a simple "skull", you'll absolutely need the rarer "Servant's skull" version. It's a bug introduced by the mod, you can use any skull in the base game.
Here is the bug explained in more detail for anyone interested: https://www.reddit.com/r/Morrowind/comments/96gh89/join_all_vampire_clans_mod_quarra_amulet_quest/ Would be great is someone could correct this.
The issues I've encountered with v1.20 by doing all vampire quests are as follows. The Quarra Amulet quest is the only one that will remove the existing Vampire Hunter's Achievements from your inventory before giving you a new one. If you do this quest first you will end up with three in total. For the same quest Volrina will ask for Ectoplasm among other things, Journal will state the same, but it won't be required to finish the quest. This is a vanilla game bug. Another thing Volrina will ask for is a Skull, Journal will state the same, but you'll need to have Servant's Skull instead. However, upon giving in the items the quest script will try to remove the Skull from your inventory letting you keep the Servant's Skull. This bug was apparently introduced by this mod. Here is a screenshot for reference: https://i.imgur.com/4P024DJ.png
It's not very complicated to fix, I though about maybe one day releasing a mod combining this and the mod allowing you to join the 3 great houses (and fixing the bugs in the 2 existing mods) but I don't know if I'll launch Morrowind again anytime soon
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https://www.reddit.com/r/Morrowind/comments/96gh89/join_all_vampire_clans_mod_quarra_amulet_quest/
Would be great is someone could correct this.