One consequence could be a shift in the power balance among the ninja villages. Since Orochimaru was a powerful and feared figure, his death might cause some chaos as his former allies or subordinates try to either avenge him or claim his resources. For example, some of his secret labs and experiments might be up for grabs, leading to potential conflicts.
In some fanfics, Naruto might use his new and powerful jutsu that he has mastered over time. Maybe he combines his Sage Mode with the power of the Nine - Tails in a unique way that Orochimaru can't counter. For example, he could use the Nine - Tails' chakra to enhance the range and power of his Sage Mode attacks, and then catch Orochimaru off - guard.
Well, in some versions, Naruto might use his new and improved Rasengan techniques. He could have combined it with his Sage Mode powers to overpower Orochimaru. Maybe he also uses his quick thinking and the element of surprise, since Orochimaru is always so full of his own schemes.
In this kind of fanfiction, Naruto might have used his new and powerful jutsu that he developed secretly. Maybe it was a super - enhanced Rasengan with some special chakra nature added to it, which was strong enough to overpower Orochimaru.
Since Orochimaru had many experiments and secrets, his death at Naruto's hands in the Chunin Exams fanfiction could lead to a scramble for his research. Other villages or even some rogue ninjas might try to steal his notes and facilities. In Konoha, Naruto might be pressured to reveal what he knew about Orochimaru's plans and secrets. This could put him in a difficult position as he may not know everything. Also, Sasuke, who had a connection with Orochimaru, might have a complex reaction. He could be angry at Naruto for killing Orochimaru, or he could see it as a sign of Naruto's strength and be motivated to become stronger himself.
In this kind of fanfiction, Itachi might use his powerful Sharingan abilities. He could perhaps create illusions to mislead Orochimaru and his minions, then quickly snatch Sasuke away. For example, he could make Orochimaru think that Sasuke is in a completely different location while he secretly approaches and rescues him.
It shows the strong bond between the two brothers. Despite all the complications in their relationship, Itachi still cares deeply for Sasuke and is willing to risk a lot to save him from a great danger like Orochimaru.
Maybe the fanfic could start with the OC being experimented on by Orochimaru. Naruto and Itachi somehow cross paths with the OC. Itachi, seeing the OC's situation, decides to help, which leads to a complex relationship between them all as Naruto tries to understand Itachi's motives and the OC tries to break free from Orochimaru's control.
One consequence could be a shift in the power balance in the ninja world. With Orochimaru gone, his followers might scatter or try to seek revenge. This could lead to new conflicts.
One scenario could be that Orochimaru tries to take over Sasuke's body again. Naruto, being Sasuke's friend, would do anything to stop it. He could use his Uzumaki bloodline powers, like the Adamantine Sealing Chains, to bind Orochimaru and then use a powerful attack to finish him off. Another possibility is that Orochimaru has created a new, even more dangerous experiment that endangers the entire ninja world. Naruto, as the hero, steps up and uses his Sage of Six Paths powers (if he has access to them in the fanfiction) to kill Orochimaru.