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A gifted surgeon is thrust into a hidden world where diseases are living horrors and surgery is sacred combat. Bound to a sentient grimoire of forbidden knowledge, he must perform terrifying rituals to excise reality-warping tumors—each operation draining his sanity and edging him closer to monstrous transformation. With every success, his power grows, but so does the abyss within. Teaming with unlikely allies, he battles fanatics, rival factions, and his own unraveling mind in a race to stop an apocalyptic awakening beneath the city. Blending medical precision with cosmic dread, this pulse-pounding horror thriller delivers relentless tension, visceral stakes, and a haunting question: how much humanity will he sacrifice to save the world?