Credit, you can kill her or allow the vampiress to seduce you and possibly spend the rest of your metagame letting her eat children, dragon born dick, and anything else(that's all on you). Rigmor of cyrodil has more options to be a dick to everyone, but the ending is mostly static.

Rigmor of bruma let's you simply allow her to die, or be an object of your own emotional abuse which more or less disgusts people in general, OR become one with malacath, thus allowing god queen trinimac to be born. Beyond reach allows you to simply let vermina swallow the city of evermore, which is kind of a great dick move. Vigilant let's you veer towards true evil and good but only in the scope of it's questline. Skyrim reputation -sort of- simulated good and evil in this meta 'I like/don't-like you for x reasons' but it's not definitive. There is a miraak follower mod that lets you save his soul instead of killing him.

Good/evil frameworks aren't written into anything but thieves guild, dawnguard, and dark brotherhood.

Skyrim evil quest mods