The Male Lead Has a Severe Illness: Coughing Up Blood, Rushed to the Hospital, So Pitiful It Brings You to Tears 男主有很严重的病，吐血，送医院，卑微到让人流泪

1. 151 霏 Feihan's Rise, Under the Moonlight 霏晗升迁，唯有月光 Cheng Qianyang成浅阳Modern Romance245k WordsCompleted Before he turned twenty, whenever Lu Canheng’s life settled down, all kinds of problems would arise. Lu Canheng had never felt secure. That changed when he met Yu Sihan at twenty. She said, “When Feihan rises, only the moon remains. You’re my moonlight.” She said, “Canheng, your name means the sky is about to brighten, and mine means I miss you.” She brought the two of them together. 112Reads—Score—14d adds
2. 152 乖 A Good Wife's Guide to Playing Bad 乖老婆装坏指南 Shun Jiu舜九Two Male Leads369k WordsCompleted Help: Last night, I got drunk and made a scene at a hot pot restaurant, then ordered a male escort. Now he wants me to be his wife. What should I do? After waking up with a hangover, Sheng Minyi felt like his world had collapsed! In his previous life, he was the cannon-fodder foil in a story about a real and a fake young master, the one whose place had been stolen. His family despised him, and he died horribly in the wilderness, with no one even claiming his body. Reborn, he decided that whoever 24.2kReads8.8Score47114d adds

   Reader note

   I really like these two books.

3. 153 老 My Husband’s So Stubborn: Two Kisses and He Melts 老公的嘴太硬？亲两次就软了 Shun Jiu舜九Two Male Leads338k WordsCompleted [One-on-one romance + both leads are each other's first and only + happy ending + mutual salvation] Pei Yunqiao somehow ended up saving someone. Before dawn, the man had already fled far away. At the recording of the first round of the audition show, he clutched his sore waist and stared from afar at the aloof, ascetic man seated among the judges. His vision went black, then black again. After the performance, Producer Shen pulled him into a corner and gave him three warnings in a row. - Put awa 9.3kReads8.7Score1.1k14d adds
4. 154 被 The Little Emperor Imprisoned by the Left and Right Chancellors 被左相右相囚禁的小皇帝 Liang Wang两汪Two Male Leads523k WordsCompleted After the Beijing Rebellion, the imperial family of the Yu Dynasty was handed over to the Northern Barbarians, who subjected them to every kind of humiliation. The only survivor was a ten-year-old prince. The capital was moved to Nanjing, and the boy ascended the throne at ten, with the two chief ministers doing their utmost to support him. But the young emperor was unable to have children. Little by little, he fell into another abyss. He said he loved him deeply, yet their struggle was a fight 9.4kReads6.4Score61714d adds

   Reader note

   He's a sickly but beautiful little emperor!

5. 155 屹 Stand Firm, and Make Yourself the Blade 屹立不倒，便会以身为刃 NA47Modern Romance598k WordsOngoing He was the business world’s feared lion, a man who built the Sheng Yi empire on sheer willpower. No one knew that the framework supporting his imposing presence was already riddled with cracks: shrapnel like thorns had been embedded in the bones of his right knee for years, and his stomach, scarred by acid, could barely withstand the slightest chill or even one malicious glass of alcohol. He tended to his wounds in private and hid his limp, silently swallowing every bone-deep pang of pain as a 297Reads—Score—14d adds

   Reader note

   My stomach hurts, but I'm not pathetic; I may be sickly and weak, but I'm a tough guy.

6. 156 一 I Accidentally Became the Tsundere Employer's White Moonlight 一不小心成了傲娇雇主的白月光 Little Words, No Worries小字无忧Two Male Leads602k WordsCompleted [Two male leads + tragic romance + the one who was left behind pursues his lover through hell + equally matched leads] [Two male leads + warmth] [Dark imprisonment, brutal torture, memory control, stealing someone's lover] Volume One: First Meeting in the Jungle focuses on daily life as they struggle to survive in the jungle, with scenes of being shot, poisoned, treated for injuries, and fed. It's a bittersweet but lighthearted read. Volume Two: The Ordeal of Captivity includes deception, dark i 1.5kReads8.1Score11014d adds

   Reader note

   Ji Ying, a top assassin, was betrayed and, after the torture in Volume Two, became a helpless cripple… Volume Two: Imprisoned in a secret room, tortured to the brink of death; imprisoned in a manor, humiliated and sexually assaulted (attempted), framed, and forced to drown until he had no breath or pulse; imprisoned elsewhere, driven to madness… Wei Yihang was determined to die, which Li Yin only thought was a ploy, when in reality Wei Yihang had been tortured to the point of no return… Volume One is slow-paced, with sweet and sour daily life; shot in the jungle, still having to scout, find food, and care for his employer… In the end, he almost died from being treated by a quack doctor, falling into a coma, fever, vomiting blood, and even having trouble drinking water and taking medicine… Volume Three is a reconciliation, bittersweet, slightly angsty, with unrequited love and sweet romance…

7. 157 记 A Record of Xicheng, the City No One Can Escape 记：逃不出的汐城 Yu Wantong虞宛童Modern Romance750k WordsCompleted A major crime once took place in Xishui City. The son of a wealthy local businessman, who already suffered from a psychological disorder, was brutally abused by the live-in nanny on a stormy night. When his mother returned home the next day and found her precious boy covered in blood, the five-year-old was barely clinging to life. After that, his psychological condition grew increasingly severe and difficult to control. He became extremely averse to loud noises and thunderstorms, which could tri 854Reads5.6Score—14d adds

   Reader note

   This isn't fake illness; the male lead is genuinely heartbroken, both physically and emotionally! He fell in love with the female lead at first sight as a child, and from then on, he only recognized her. He's cold and aloof to the outside world, but his obsession with her runs deep. The female lead lives with others, and he is her support, her salvation. She complains that he's clingy, but whenever he has an episode, he's always the first to rush to her side. This mutual devotion is so heartbreaking!

8. 158 听 After the Hearing-Impaired Little Cannon Fodder Is Forced to Marry a Dark, Unhinged Big Shot 听障小炮灰和阴暗疯批强制联姻后 Bamboo in Drizzling Night Rain筱竹夜雨Two Male Leads113k WordsCompleted [Two male leads + transmigrate into a book + sweet romance and satisfying wish fulfillment + ABO + devoted to each other] [Sweet, gentle, hearing-impaired beauty × hypocritical, dark, deranged man] Yun Shujin was so sleepy that he accidentally knocked himself dead. When he opened his eyes again, he had transmigrated into a book. Yun Shujin: QAQ? “Actually, you were supposed to stay dead, but the cannon fodder in this little world suddenly woke up and ran away! Now the whole world is falling apar 1.4kReads7.2Score16114d adds

   Reader note

   🌈🌈🌸After transmigrating into a book, Yun Shujin became a hearing-impaired cannon fodder character, destined for a tragic death in the original plot. However, due to the original cannon fodder's awakening and escape, causing the world to collapse, he was required by the system to "die again" according to the original plot. Yet, when he acted spoiled and willful, flipping tables and smashing bowls as the plot dictated, his arranged marriage partner—the dark and eccentric Ji An—only cared about whether his hand hurt.

9. 159 被 The Contract That Was Seen 被看见的契约 The Meow in the Hat帽子里的喵Modern Romance119k WordsCompleted [Also known as: A Guide to Coexisting with a Ghost] [Reader's Guide] ★ Ordinary girl × sickly ghost boy, from chaotic bickering to saving each other ★ Healing everyday life + light comedy + a tiny touch of the paranormal. If you're easily scared, you can read without worry ★ “I taught you how to be loved, and you taught me how to be brave” Xu Anran lives alone, and lately she's been troubled by strange things happening at home: her cup moves for no reason, faint sighs drift through the house la 59Reads—Score—14d adds

   Reader note

   The first book tells the heartwarming and fun-filled story of a sickly young man (with a heart condition) and an ordinary girl, offering a touch of redemption. The second book features a military doctor and a soldier; the male lead suffers from stomach problems and is frequently injured during missions, with the female lead always by his side.

10. 160 啊 Ahhh, Please Don’t Die by My Hand! 啊啊啊，求求别死我手里 The Meow in the Hat帽子里的喵Modern Romance231k WordsCompleted Funny, sunshine-like doctor Su Ye VS scheming, loyal, tough-guy major Shen Jizhou Modern Romance | Alternate Universe | Sweet Romance, Happy Ending Military doctor Su Ye is assigned a difficult “patient”: ace commander Shen Jizhou. He has seen countless battles and earned numerous honors. His only flaw is that he takes far too many reckless risks! Watching him command the entire operation without so much as a change in expression, even with a shoulder injury and stomach problems, Su Ye finds he 299Reads—Score—14d adds
11. 161 不 An Endless Summer 不尽炎夏 Jie Yizhe解一哲Modern Romance299k WordsOngoing [Male lead suffers | Stomach and heart angst | A touch of period-drama style | Redemption] At a middle school in a remote mountain village, Chen Yan, the head of discipline burdened with family responsibilities, secretly protects students in difficult circumstances by playing the role of a “villain,” even at the cost of destroying himself. Xu Jianxia, a passionate new teacher, initially mistakes his coldness and severity for cruelty. As she gets to know him, the truth behind a series of events g 224Reads—Score—14d adds

    Reader note

    The male protagonist comes from a poor family and has poor health. Despite his own difficult life, he still tries his best to help others. Although he outwardly acts like a rigid old man, he has a good heart.

12. 162 快 The Sickly Villain Is Redeemed by the Host in Quick Transmigration 快穿病弱反派被宿主救赎了 Grass-Eating Rabbit草吃兔Modern Romance151k WordsOngoing [Sickly protagonist + sickly male lead + System + equally matched + both pure + heroine dotes on hero] After transmigrating into a book, Wen Yue was given a task by the System. At first, she figured she could just live the same way in a different world. In the end, she still accepted the task. It absolutely wasn’t the reward that swayed her. Absolutely not! Looking at the handsome man in her arms, clutching his chest and gasping for breath, every frown and smile captivating her, Wen Yue grew eve 747Reads—Score10014d adds

    Reader note

    This has to be it! A sickly romance! I devoured it! The female lead dotes on the male lead, both are strong, the male leads suffer from heart disease, stomach problems, and are physically weak, and the illness scenes are never perfunctory. If you like sickly male leads, go for it!

13. 163 傅 President Fu, Your Wife Has Signed the Divorce Agreement 傅总，夫人已签离婚协议 Yunduan Qiqi云端七七Modern Romance359k WordsCompleted [Heartbreakingly tragic + intensely satisfying + stand-in + contract marriage + groveling pursuit of his wife] Powerful CEO of a wealthy family × coldhearted designer who has shut her heart away After three years of marriage, Lin Xi is Fu Hanzhou's most dutiful ornament and his beloved's personal blood bank. On the night she miscarries, he coldly signs the papers. “You're not worthy of bearing my child.” The day her heart dies, she leaves a blood-written note saying, “May we never meet again,” 5.7kReads—Score27914d adds

    Reader note

    This one! It's agonizing at first, then incredibly satisfying! A classic "torture your wife for a while, then suffer the consequences of her actions" story. A strong, confident, and cool female lead who makes the male lead regret his actions and desperately beg for her affections. The beginning is filled with torment for the female lead, followed by a massive, intense torment of the male lead. The writing is concise and fast-paced, brutally cruel, and incredibly satisfying. Hope you enjoy it!

14. 164 裴 President Pei, Your Wife Is Trying to Kill Himself Again 裴总，夫人他又要自杀 Nan Xiaoji南小寂Two Male Leads515k WordsCompleted Beneath the polished facade of an illustrious family, Lu Yu’an is a broken soul on the verge of going dark. Severe depression and emotional disorders imprison him in endless darkness, and every outside stimulus drives him to inflict pain on himself in secret. His family sees him as defective, and a marriage arrangement pushes him toward Pei Yanzhi, the business world’s most sought-after and celebrated CEO. To Lu Yu’an, this marriage is an inescapable cage, but also a long-buried hope he doesn’t 192Reads7.5Score—14d adds
15. 165 跪 You Want Me to Forgive You If You Kneel? I Just Want to Die in Peace 跪着我就原谅？我只想安静的死去 Immortal Shadow on Cold Mountain寒山仙影Urban323k WordsCompleted Modern urban slice of life, one female lead, no System, no magic, and a story of regret. As the youngest son of the Yang family, Yang Tian has been meek and obedient since childhood. His father and sisters have groomed him to be a pawn in the family’s rise to power. To his surprise, when he refuses to marry the hideously ugly eldest daughter of the Pang Group, his father and sisters kick him out of the family home. Not long before, Yang Tian had learned that he was terminally ill. Seeing how lit 209Reads8.0Score—14d adds

    Reader note

    The male protagonist died in the end.

16. 166 他 His Little Fool Doesn't Cry Anymore 他的小傻子不爱哭了 Love Rain into Dew恋雨成露Two Male Leads1.2M WordsCompleted [BL + both pure + angst + just rated] In a corner of Shengying Noble High School, there was always a figure named Su Nian. As the illegitimate son the Su family kept hidden from the world, he had suffered a childhood accident that left him with a brain injury. He was always half a beat slower than everyone else, and his clear eyes were often filled with timid confusion. When classmates mocked and shoved him, all he could do was tear up, like a little beast nobody wanted. In the hallway, Su Nian 9.4kReads9.3Score70314d adds

    Reader note

    It's incredibly angsty, incredibly angsty, incredibly angsty! You should definitely check it out! It starts in a school setting, involves a wicked stepmother, and human experimentation—everything is interconnected! Absolutely top-tier!

17. 167 一 A Patient's Moment in the Spotlight 一位病人的高光时刻 Lonely Circle孤独的圆46k WordsCompleted A Patient’s Moment in the Spotlight 6Reads—Score—14d adds

    Reader note

    The male protagonist has a genetic condition. The opening is very depressing, but the emotional descriptions are extremely delicate, drawing the reader completely in.

18. 168 穿 After I Transmigrated, I Gave Up, but My Target Started Pursuing Me Instead 穿越后摆烂我被攻略对象反攻略了 Jiang Li Jiang Li江黎姜离Two Male Leads1.4M WordsOngoing Dual male leads, everyone's favorite, cultivation, System, angst first and sweetness later, reincarnation, amnesia, twists. I transmigrated into a hidden extra, and not just any extra, but a crucial one! The original story never even mentioned me! The calamity that will destroy the world is fast approaching, yet the System's missions are utterly baffling. Am I supposed to form a friendship bond with the child of destiny? Or win over the world-ending villain? And there's more than one child of de 460Reads9.4Score11014d adds

    Reader note

    The first book, only started publishing on New Year's Day! It's a female-transmigrated male-male dual-male cultivation novel, initially 1vN, later 1v1, angsty at first and not sweet at the end, with many plot twists. The second book is a prequel to the first, also a female-transmigrated male-male dual-male cultivation novel, 1v1 pure angst, finding sweetness amidst the shards of glass. Don't worry about the tag details, male body, female soul, these things are inherently difficult to define precisely, if you insist on being pedantic, I can't help it, you're absolutely right. [Shy][shy]

19. 169 十 Ten Lifetimes of Entanglement, All Ending in Tragedy 十世纠缠皆成殇 Jiang Li Jiang Li江黎姜离Two Male Leads300k WordsOngoing Dual male leads, one-on-one romance, a love full of hatred, cultivation, transmigration, reincarnation, and heartbreak. He transmigrates in a dream, taking over someone else's identity. The moment he opens his eyes, he finds the original owner's enemy standing before him. And that enemy is none other than the supreme ruler of the Demon Realm! At first, Jiang Li thinks it's all a dream. Carefree and sharp-tongued, he eventually enrages Shang Ying and gets a thorough beating. Only then does he rea 147Reads8.9Score10114d adds
20. 170 别 Don't Call Me a Child of the Moon 别叫我月亮的孩子 Xiaomi Is Me小米就是我呀Modern Romance996k WordsCompleted [Gloomy, Insecure Moonlit Boy × Warm, Radiant Little Sun] Jiang Jinye is the quietest shadow in school. Bruised all over, he lives with his father’s alcoholism and beatings. Everyone calls him gloomy, broken, and beyond saving. Until one day, Wen Fengqing, the top student in his year, sits beside him and becomes his “little tutor.” She sees the bruises beneath his uniform and says softly, “Jiang Jinye, you’re like a child the moon forgot here on earth.” He has spent so long curled up in the dark 170Reads—Score—14d adds

    Reader note

    "Don't Call Me the Moon's Child" - Wen Fengqing x Jiang Jinye. She was the dazzling sun, always sitting in the front row; he was a self-conscious boy hiding in the corner, afraid to look up at the light. Everyone called him "the moon's child," avoided him, and gossiped about him. Only Wen Fengqing would force a piece of candy into his mouth in the afternoon classroom and deliberately take a detour to accompany him home after evening self-study. She spent three years telling him: You are not the moon's child; you are my precious person. Later, the person who never replied to his messages posted only one sentence on their social media: "She is my Qing." #MutualRedemption #Reconciliation #HappyEnding

21. 171 朋 My Friend 朋友呀 Hot-Tempered Wind Who Loves Lufengosaurus喜欢禄丰龙的火气风Urban1.1M WordsOngoing The rating has only just come in. It'll go up later, so don't let it scare you off! Stick with it until Chapter 7 and there'll be a surprise [Youthful Campus Life + Friendship + Dark Humor + Antihero + Philosophical Reflection + Slow-Burn, Richly Detailed] The night before last, I had dinner with a buddy I'd known for more than twenty years. We hadn't seen each other in over three years, but he seemed to be doing unbelievably well. We talked about work and life, and he even said he wanted to 252Reads8.3Score—14d adds

    Reader note

    The male protagonist is sickly, handsome, strong, and tragic; he vomits blood in high school and is taken to the hospital by his friends.

22. 172 如 I Wish I Could Die in a Dream in Tokyo 如果能在东京的梦中死去就好了 Buckwheat Noodles in a Bowl碗子荞麦面11k WordsCompleted I Wish I Could Die in a Dream of Tokyo 87Reads—Score—14d adds

    Reader note

    [Heart][Heart][I'm about to cry]

23. 173 异 A Long Journey in Another World 异界旅途漫漫 The Mountain Moon Knows Not of You山月不知君Eastern Fantasy1.0M WordsOngoing [No System + Original Story + Ensemble Cast + No Brain-Dead Characters + Fast-Paced + Pure Romance] I’m dedicated to creating a different kind of world and bringing everyone a fresh new thrill, along with a more realistic experience! The rain fell without letup, day after gloomy day. Beneath the curtain of rain... Travelers from another world, I’d like you to finish this terrible game of chess for me. Anyone can be a chess piece, anyone can be sacrificed. All living beings are players in this ga 6.1kReads—Score36014d adds

    Reader note

    What do you think of this book? Highly recommended! Everyone in it has their own shining moment! I strongly suggest you check out this ensemble piece! Come join me in this visual feast!

24. 174 我 After I Washed Off My Heavy Makeup, the Cold CEO Regretted Everything 我洗掉浓妆之后，高冷总裁后悔了 Teacher Xiao Guo小郭老师Modern Romance651k WordsCompleted [Max-level powerhouse heroine and a husband who brings his wife good fortune] After transmigrating into a book, Gu Nian casually rescues a down-and-out young man. He raises his head from the mire. Bruises can’t conceal his refined features, and he hoarsely vows to repay her kindness. His gaze falls on her face, and his dull eyes light up for a moment. The young man works three jobs every day, saves up to buy a gold bracelet, then presents it to her like a precious treasure. Gu Nian gives it a gl 1kReads8.0Score10114d adds
25. 175 和 What’s It Like to Pretend to Be a Couple With Your Yandere Ex? 和病娇前任演情侣是种什么体验 Teacher Xiao Guo小郭老师Modern Romance304k WordsCompleted [Yandere romance, showbiz, rekindled love, both leads are romantically inexperienced, sunny heroine and sharp-tongued hero] After three years as an extra, she finally lands a second female lead role. Excitedly, she opens the script and discovers that her new character is a woman who clings to a man at first, then toys with his feelings and abandons him. “Director, how can I make a terrible woman like this feel more natural?” she asks earnestly. Before the director can answer, the male lead besid 1kReads8.0Score—14d adds

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