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Originally Posted by galraen  Ash Ghouls are pretty distinctive, having snouts instead of human faces, they also reflect spells and cast drain health on you. |
And their bodies are quite a bit bigger, so if it had been an ash ghoul, you would have realized that it wasn't human.
Edit: as I remember it, I met the ash ghoul just inside the cave door, not in the shrine. But I could be mixing it up with some other place.