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Notes from artist : The Hanahaki Disease

It's a illness born from unrequited love, where the patient's throat will fill up with flowers and cough up the petals, sometimes even the flowers.

The only way for the disease to be cured is, if the feelings of love gets returned. However, it can't be resolved with platonic love. It has to be genuine feelings of romantic love.

If the feelings are not returned in time, then the patient's lungs will fill up with flowers, which will end up with them suffocating and eventually dying.