In Ultima IV, the answers determine the starting stats, magic abilities, place and equipment... as well as which companion cannot join the party.
In Ultima V and VI, the answers determine the starting stats.
In Ultima IX, the answers determine stating stats, mana storage and equipment.
The Gypsy's appearance at the beginning of Ultima IX is identical to that of Morganna of Minoc.
The MMORPG World of Warcraft pays homage to the Ultima series by including a fortune teller, Sayge at the Darkmoon Faire, who poses similar moral dilemmas. The answers to his questions determine which stats will receive a temporary "buff."