Certain races allow you to choose specific options in conversations and some backgrounds let you complete quests in unusual ways. What you should know is in PoE each choice is crucial. Selected skills and attributes will affect your gameplay as well as race, culture or even gender!
Normally, you can choose your character’s gender, race, and class, change attributes, choose the story and bio, set portrait, voice and name. That’s an essential part of each RPG, but guys from Obsidian Entertainment decided to make a perfect event for it.
There is a starting screen in Pillars of Eternity where you should create a new character.