Pallid Bone vs Dreadful Visage

How close are they?

ΔE 25.6, loose: different enough that you should pick on purpose. Dreadful Visage is noticeably darker, much more muted, cooler than Pallid Bone.

Can I use Dreadful Visage instead of Pallid Bone?

Not as a straight swap; see the closer alternatives below. Loose match (ΔE 26). Dreadful Visage is noticeably darker, much more muted, cooler than Pallid Bone.

Can I use Pallid Bone instead of Dreadful Visage?

The same difference applies the other way round: Pallid Bone is noticeably lighter, much more saturated, warmer.

ΔE is the colour difference between our two swatch estimates: under about 6 is close, over about 15 is loose. Real paints also differ in finish, coverage and how they thin, so test before you commit.