MTL - The Twelve Zodiac Guardian Gods - Chapter 4 After the outbreak, the monthly ticket is sought.

Hikaru crossed to Misty World with billions of other players. This world is full of monsters and fog.

Hikaru thought he wouldn't be able to survive in this horrible world when he suddenly possessed an SSS-class skill.

[Ding! Maximum Evolution.]

[Ding! Do you want to evolve Succubus into Fallen Angel?]

[Ding! Do you want to evolve Komodo into the Darkness Dragon King?]

[Ding! Do you want to evolve the Wooden Sword into a God Sword?]

…

Hikaru: “In this world, I am the lord.”

Li Huowang was incapable of making up his mind. Was he in a hospital or in a fantasy world, struggling to survive? Both sides claimed that they were real and that the other is nothing more than a hallucination.

Follow Li Huowang on his adventure as he tries to make sense of what is happening to him. Explore a world full of bizarre cultivators and eldritch horrors as everyone tries to survive in it.

Official blurb from the raws: The bizarre path to the heavens, the abnormal Deities and Immortals. Are they real? Or are they fake? Li Huowang is unable to differentiate between the two in his confusion. But that’s not all that is causing him to be unable to differentiate the two. There was also his own illness, a debilitating one.

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One day, Zhang Fan, a poor medical student, receives a medical system from the future. This turns him into a new shining star in the medical field. Along the way, he must face medical corruption, competition, and infighting from other doctors, and even find time for a love life as he strives for the top of the medical field!

Transform into Divine Dragon and dominate the world!
He is the only Divine Dragon in the sea who founded an underwater Dragon Palace.
With Crawfish Soldiers and Crab Generals as his followers, wild sharks and gigantic octopuses as his subordinates, he is the dragon that rules the city.

- Description from Novelupdates