Whomever is chosen, the protagonist will marry them before eventually giving birth to two children, with whom they work together to defeat the main antagonist, Grandmaster Nimzo.

Bianca and Nera has received generally positive reception, considered two of the best female Dragon Quest characters.

Kurikara wanted to help make Nera more distinct from Bianca, giving her blue hair to accomplish this.

Whomever is chosen joins the Hero on his quest to find his mother, ultimately becoming pregnant and giving birth to a boy and girl.

Bianca appears alongside Nera in Dragon Quest Heroes: The World Tree's Woe and the Blight Below, where both venture out into the world before the day that the Hero would have normally proposed in Dragon Quest V.[10] Bianca also appears alongside Nera in the mobile game Itadaki Street MOBILE.

They argued that Bianca's appeal comes from her being the hero's childhood friend and their eventual reunion, while Nera's comes from her selflessness and natural side.

[17] In a poll of IT Media readers, Bianca was ranked as the second best marriage option in Dragon Quest V, above Deborah and below Nera.

[19] Automaton writer Takumi Nango noted that fan response to the three women overseas was about the same as Japanese users, though they said that Bianca's accent in the English version was a turnoff to some.

[20] RPGamer writer Erik van Asselt felt similarly, citing her hair and her being the hero's childhood friend, among other traits.

[17] Final Fantasy XVI director Kazutoyo Maehiro noted that Bianca served as an inspiration for certain elements of Jill Warrick, a character in that game.

[23] GameSpot staff identified the relationship between the hero and Bianca as one of the best video game love stories, calling her the clear choice between the marriage options.

[25] Inside Games staff discussed how experiencing the loneliness of traveling alone, as the hero does, helps make people into Bianca fans, suggesting that players may recount their experiences with her as a child.

Fellow RPGFan writer Robert Steinman similarly felt disincentivized from choosing Nera, specifically due to her already having someone she wanted to marry.

He felt that a large draw for Nera fans were t he gameplay benefits, believing that players may have chosen her because they thought they would not get the shield if they married Bianca.

[34] RPGFan Keegan Lee stated that he was a "solid Debora supporter," feeling that despite her being less popular, he enjoyed watching her change over time as the story progresses.