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Similar to the solitare rule question (kiss and caress) does the gorefeeder need to be used to go higher in the chart and/or gain the special effects due to the wording not saying that he needs to use gore feeder?

No, you only need to have goredrinker on you. From that point on you can use whatever you want really. Up to and including a combat familiar. Not everything will gain all of the special rules mind you.