This is probably the second time I've seen Koa this desperate in this series.

Poor Patchy, I hope Sakuya doesn't see this or we will have quite a huge mess on our hands.

And here we see the innocence and kind-heartedness that has finally defeated the koakuma's cruel spirit. She's even apologizing for being deathly ill!

If she is able to cough that loudly, it can't be too bad.

For Patchy it's hell to take in any deep breaths. Patchy is apologizing to Koa for the condition she has and this site.