The #1 Pretty Boy of the Immortal Path - Chapter 187 - Arrow

Xia Yan passed through to the world of Bleach and became an eleven-year-old boy. He was rescued by Renji and Rukia in the Seireitei, and he was studying at Shin’ō Academy, and he was a student of the same class.
He is a top student of the Shin’ō Academy, and he is vying for strength by various teams. In the end, he has entered the first team of secret mobile maneuvers.
He will use punishment to kill every person who tries to threaten the martyrdom and protect his loved one.

- Description from Novelupdates

Our protagonist was a Mexican who died on a flight, when he woke up he found Apollo who reincarnated him as the grandson of Gaius Octavian Turino (Augustus) the first Roman emperor, having a mission in hand to conquer the New World to save the Roman polytheist world and his existence.

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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I returned to Earth as the invincible Knight King. But the Gods came with me.