After you beat the final boss, you can either:
walk out of the room
kill the maiden in black
If you kill the maiden, you get the Old One's soul which is worth 200,000 souls as well as a red eye stone for summoning duels.
Also, all souls from the last boss you kill + final boss + etc can't be used till you beat 1-1 in NG (phalanx). You have to then go talk to the monumental and the maiden will be available to use souls again.
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