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...

Back then, the Old World, not yet sealed off, saw huge rates of birth daily, and not every Patient could secure the qualification to survive normally,

Most people suffering from lowly illnesses or even congenitally disabled folks simply had no right to live on in the Old World, they might even be taken away as slaves, livestock, or even food while simply walking.

Therefore,

these hopeless Patients would make some special choices, becoming a Pilgrim of Pain was one way ...

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