Sakusei Byoutou THE ANIMATION – Episode 9 (ES)

Worn to the bone by relentless semen extraction from every variety of sadistic nurse, Yamada's body and spirit are in ruins. The final member of the hospital's dreaded "three great senior nurses"—following Numajiri and Kiritani—is the ultra-eccentric, full-blown psychopath Tendou Mia. Her erratic actions and volatile speech constantly keep Yamada on edge, never knowing what bizarre torment she'll inflict next. Behind Mia's unhinged tyranny stands her absolute ruler: the terrifying elder sister Mako, whose iron grip enforces order through sheer intimidation and violence.

A small mishap inadvertently destabilizes Mia's already fragile mental state, sending her spiraling. This enrages Mako beyond reason—she perceives Yamada as a threat who has "stolen" their private world. The elder sister's fury erupts into savage, near-lethal punishment. Yamada feels true fear for his life as Mako unleashes a barrage of ferocious physical and psychological assaults, all while screaming her accusation: "A pig like you is stealing our world from me and Mia aaaahhh!!" Mia, caught between her unstable impulses and blind devotion to her sister, joins in the onslaught, creating an unstoppable sisterly tag-team of domination and cruelty. Yamada is powerless against their combined might, enduring extreme torment that pushes the boundaries of survival in the nightmarish ward. This volume delivers peak sibling sadism, psychotic unpredictability, and life-or-death stakes.