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->''"Romantic opera usually deals with the subject of some romance which never comes off owing to the untimely demise of the prima donna through one of four causes: murder, suicide, madness or TB."''
-->-- '''Creator/AnnaRussell'''

If you're the star of a [[VictorianBritain Victorian Novel]] or an opera which could have been adapted from one, you're preferably [[HairOfGoldHeartOfGold blonde]] and [[InnocentBlueEyes blue-eyed]], [[PurpleProse with an alabaster brow and feet light as the entrance of Spring]]. So [[IncorruptiblePurePureness pure]] are your thoughts that you faint at even the ''sight'' of blood, and have little stomach for gory tales.

You're also dying of a disease which will probably be called "consumption" if it isn't TheDiseaseThatShallNotBeNamed. Fortunately, this ailment has no ill effects other than adding a [[IncurableCoughOfDeath poignant cough to the appropriate sentences]], and making your eyes ''even brighter'', your skin ''even paler'', and your complexion ''even more'' striking. In operas, it won't prevent you from singing at least one aria in your death scene. [[note]] What was actually called "consumption" in the Victorian era is known as tuberculosis today, and its RealLife effects are not nearly as glamorous as Victorian Novel Disease makes them out to be. [[/note]]

Standards of beauty are a funny thing. When the lower class is poor and thin and haggard looking, the nobility commissions portraits depicting themselves as Rubenesque, with rosy cheeks and dimpled arms, to show off their indulgent dining habits as a way of immortalizing their wealth. However, when the economy stabilizes and the poor are able to be plump and rosy-cheeked, then the standard of beauty... ''shrinks.'' Women become diminutive, frail, wan little things, prone to {{fainting}} spells and headaches. Rather like Creator/DrSeuss' star-bellied Sneetches, the "haves" set as the height of desirability whatever quality the "have-nots" cannot achieve.

The epitome of the fragile, delicate woman is the IllGirl -- AlwaysFemale, always innocent and pure, always dying of some disease that is very slow at actually killing her. As she lies enthroned in her beautiful sickroom, she and everyone around her will spend their time poignantly musing on her death. Her proximity to the eternal will give her immense wisdom and insight, and she will be a neverending source of advice and comfort to her caretakers. As she weakens and succumbs to immobility, [[InspirationallyDisadvantaged she will never succumb to despair or even anger.]] And when she finally slips the surly bonds of Earth to touch the face of God, those around her (one of them likely [[DiedInYourArmsTonight holding her frail form in his arms]]) will smile through their tears and [[TooGoodForThisSinfulEarth rejoice that her pure soul is now freed from this dirty world]].

In modern times, a virulent strain has developed as the SoapOperaDisease. The LittlestCancerPatient is usually more upbeat about their [[YourDaysAreNumbered impending death]].



[[folder:Anime and Manga]]
* Parodied and subverted in ''Manga/CountCain'', wherein several vain girls are tricked into ingesting various parasites to get that lovely white pallor.
* Rin's mother in ''Kodomo no Jikan''. Though they actually stated she had lung cancer.

[[folder:Fan Works]]
* A staple of {{Creator/Sidhemail}}'s work, especially ''I Am Stretched on Your Grave''.

* 1970 weeper ''Film/LoveStory'' offers an infamous example in Ali [=McGraw=], whose terminal illness just makes her prettier.
* ''Film/MoulinRouge'' is based off of The Lady of the Camellias (see below in Literature.)
* In ''Film/SherlockHolmesAGameOfShadows'', Irene dies from "a rare form of tuberculosis", due to Moriarty poisoning her tea.
* ''Film/DarkVictory'' offers a peculiar example. This trope is initially averted, as Creator/BetteDavis suffers from relatively accurate symptoms of brain cancer--dizziness, headaches, blurred vision, numbness. However, it's played utterly straight after her brain surgery, which fails to cure her but somehow leaves her with a form of brain cancer that has her feeling healthy and vigorous and looking lovely until an attack of blindness that signifies her death is mere hours away.
* Lampshaded in ''Film/HeavenlyCreatures.'' Juliet had tuberculosis as a child and suffers a relapse as a teen, but is aware enough of this trope to note, "All the best people have bad chests and bone diseases. It's all frightfully romantic."
* In the 1970s, a series of European films - one of which was ''The Last Snows of Spring'' - played with this trope. The afflicted were always children or young teens, who run around quite happily and healthily, notwithstanding the occasional DeadlyNosebleed or fainting fit, before dying prettily in a parent's arms. In one case, the dying teenage boy even managed to complete a swimming race before dropping dead.
* In ''Film/{{Cinderella 2015}}'', Ella's mother is seemingly dying of an illness but still looks beautiful, if a little thin.
* In 1932 tearjerker romance ''Film/OneWayPassage'', Joan is dying of--well, something, something that apparently makes any exertion dangerous, and will kill her in a matter of weeks, although she still looks not just healthy but gorgeous. A throwaway reference to a sanitarium vaguely implies that it's tuberculosis, but she doesn't cough once, although she does faint a couple of times.

* Marguerite aka The Lady of the Camellias (from the novel by Creator/AlexandreDumas ''fils'') is dying of a VictorianNovelDisease. Because nothing, not even the deterioration of one's lungs, should stand in the way of one's career as a successful courtesan!
* In ''[[Literature/AnneOfGreenGables Anne of the Island]]'', Anne's childhood playmate [[spoiler:Ruby Gillis]] is revealed to be dying of "galloping consumption" (acute tuberculosis of the lungs). May be considered a play on this, as in childhood [[spoiler:Ruby]], instead of fainting gracefully at the scene of a drama, would usually just go into hysterics. However, it's still a TearJerker. Especially since [[spoiler:Ruby]], having been rather shallow all her life, is terrified to die and leave everything she's always considered important behind her. While she says she "doesn't doubt but that she'll go to Heaven", she's afraid because frivolity is all she's ever known, and now she's facing the unknown rather unprepared for it.
* Creator/AgathaChristie describes in her autobiography how her elderly grandmother tried to make Agatha seem more interesting to suitors by speaking of how frail and sickly she was. This resulted in the suitors (being 20th century boys) becoming very concerned, and Agatha very ''annoyed'', since she was as healthy as anything.
* A gender-flipped example in ''Literature/WutheringHeights'' where it is Edgar who dies of a wasting illness.
** Actually there is a lot of this kind of thing in Wuthering Heights- 'brain fever' in particular. Emily Bronte appears to flipflop on whether brain fever is caused by intense emotion (when Cathy seems to be suffering more from hypermanic episodes), or by [[CatchYourDeathOfCold getting soaking wet]] or actually contagious. People get it all three ways, and it kills at least three people.
* In Boris Vian's [[Literature/FrothOnTheDaydream ''L'écume des jours'']], Chloé dies from a water lily growing in her lungs (yes, it's a weird novel), the effects of which, besides a cough, are largely to make her beautifully pale and languid.
* ''Literature/SherlockHolmes'' contains a [[UnwittingInstigatorOfDoom notable subversion]]. Evidently, the only thing more wringing than the plot development where someone turns out to have consumption is the plot development where it turns out ''no one'' has consumption.
* In one Series/DoctorWho Literature/EighthDoctorAdventures novel, ''Camera Obscura'', the Doctor and his companions visit the Victorian era, and the Doctor is a bit under the weather and is [[GoodThingYouCanHeal recovering from having a sandbag dropped on him, and consequently his lungs crushed flat and his heart punctured by his broken ribs]]. He [[MinoredInAsskicking gets into a fight]], goes ash-white and faints, and is suspected of having consumption. Note that he's [[{{Bishounen}} kind of a prettyboy]] and his usual costume is a [[GorgeousPeriodDress bottle-green frock coat, a cravat, a double-breasted waistcoat]], etc., so it doesn't take much to make him look like a consumptive Victorian poet, which may have some connection to the fact he generally [[{{Fainting}} swoons an awful lot]].
* Parodied, or PlayedForDrama, in ''Literature/{{Dracula}}'', depending on how you read the novel. In classic literature, tuberculosis was used as a stock disease. It was rarely referred to by name, but the symptoms were always the same: a young lady would become pale and sleepy, and a blush would show on her sickly face. When Van Helsing refuses to name Lucy's illness, the reader of the era would have assumed that she has tuberculosis. [[spoiler: But actually, Van Helsing realizes that she's becoming a vampire.]]
* ''Literature/ATreeGrowsInBrooklyn'' has three consumptives: Johnny's brother Andy, neighbor Henny Gaddis, and Sergeant [=McShane=]'s wife, Molly. Henny is the only one Francie actually meets, and she can't believe he's dying because he has such bright eyes and rosy cheeks.
* In Creator/LoisMcMasterBujold's ''[[Literature/VorkosiganSaga Komarr]]'', Ekaterin mentions that when girls pretend it's the Time of Isolation, they always leave out all the bits about dying in childbirth, or of dysentery, and if they're every dying romantically of a disease, "it's always an illness that makes you interestingly pale and everyone sorry and doesn't involve losing bowel control."
* Subverted by Lady Pole in ''Literature/JonathanStrangeAndMrNorrell''. Superficially she would have appeared to have something like TB (exhaustion, languor, weight-loss, depression etc.) but in fact she was being harrassed (i.e. slowly tortured to death by being forced to dance, night after night) by faeries. Quite a few people were seriously worried about her health but her mother refused to hear a word of it.
** Played straight, however, with the disease that kills Lady Pole in the first place- she's shown having a coughing fit, is pale, can't gather the strength to rise off her couch, and is never diagnosed because her mother never let her see a doctor (causing a number of doctors to sniff and say that while Mr. Norrell's feat of magic was impressive, if they'd been allowed to practice their trade he wouldn't have needed to bring her back to life at all).
* This is precisely what IllBoy Peter dies of in the treacly 1982 Elisabeth Kubler-Ross novel ''Remember The Secret''. He's even taken to heaven by angels.
* In ''Literature/CrimeAndPunishment'', [[spoiler: Katerina Ivanovna]] dies of consumption after Marmeladov's funeral.
* In Susann Cokal's ''Breath and Bones'', Famke suffers from TB in a curious way - she coughs a lot, then coughs blood a lot, then gets treatment, and then it eventually returns...though it [[spoiler: is not what actually kills her in the end.]]
* Averted in Anthony Trollope's 47 novels in which the heroine is generally quite healthy and suffers only in agonizing over the choice of a beau. To be fair, however, Trollope wrote mostly about the middle classes while Dickens wrote mostly about the lower classes.
** Trollope doesn't avoid death, it's just that his characters die realistically and unsentimentally - when they die on stage.
* Averted--or perhaps subverted-- in {{Creator/Betty MacDonald}}'s ''The Plague & I'' which shows us what it was really like in a TB sanitarium.
* {{Discussed|Trope}} in ''Literature/SenseAndSensibility'' -- overly romantic, teenage Marianne Dashwood initially considers the thirty-five-year-old Colonel Brandon to be decrepit, citing his complaints of joint pain on a rainy day. Her more practical sister Elinor remarks that if he'd been flushed and hollow-eyed from a life-threatening fever, Marianne would have found that attractive.
* One one-scene character in ''{{Sharpe}}'s Regiment'' is a streetwalker by the name of Belle, who's got terminal tuberculosis. Sharpe spots the symptoms straight away.
-->She had a scarf wrapped about a thin face that was bright-eyed with consumption. It was odd, he thought, how the dying consumptives went through a period of lucent beauty before [[RealityEnsues their lungs coughed up the bloody lumps and they died in racking agony.]]
* ''Literature/UncleTomsCabin'' contains an absolutely textbook example of both this and TooGoodForThisSinfulEarth. Fortunately, it drops in plenty of [[AnvilsThatNeededToBeDropped general tips]] about education, evangelism and (of course) equality along the way.

[[folder:Live Action Television]]
* Creator/TheBBC writers inserted examples into ''Series/LarkRiseToCandleford''. The Post Office inspector takes sick after storming out of the post office having caught Dorcas in the act of providing Irish labourers with out-of-hours service. He faints, falls off his horse and is rescued, brought into the post office in a delirium burbling about his lost love Helena (or Eleanor, it's not clear which). A similar thing happens with Thomas Brown, played for laughs, when he falls off his bicycle in high dudgeon over Miss Ellison's treatment of her brother, and Cabbage Patterson's wife takes to her bed and allows the constable to woo Pearl Pratt. ''None of these episodes are in the original book.''
* Parodied in a ''SaturdayNightLive'' sketch: the faux-Dickensian adventures of "Miles Copperthwaite" (MichaelPalin). LarraineNewman portrayed a brave, dying girl -- who seems to have been bravely dying for ''ages''.

[[folder:Musical Theater]]
* ''Theatre/{{Rent}}'' is a modernization of ''La Bohème'' that substitutes AIDS for tuberculosis.

* Verdi's opera ''La Traviata'' was loosely based on The Lady of the Camellias, so it's no surprise that lead female Violetta Valery suffers from this kind of thing.
* Another operatic use of this trope is Mimi in ''LaBoheme''. She faints immediately after first entering Rodolfo's apartment; he sees her pale complexion and falls in love. At the end, not surprisingly, she dies from consumption/tuberculosis.
* The operatic version of this trope was mocked by Creator/AnnaRussell in "Anaemia's Death Scene." Anaemia, about to die of TB, claims to have no breath and no strength, but her singing defies her own description.
* In ''The Saint of Bleecker Street'' by Gian-Carlo Menotti, Annina dies of a disease that makes her face look increasingly pale and otherworldly. Her visible wounds are supposed to be the stigmata.

* In Charles Hubert Millevoye's highly popular early-nineteenth-century poem "La chute des feuilles" ("The Falling of the Leaves"), in which a sick young man wanders mournfully in the woods musing on his upcoming death, the illness is not specified, but is likened to a flower withered by a cold blast of wind.

[[folder:Tabletop Games]]
* A ''TabletopGame/{{GURPS}}'' technology supplement for {{steampunk}} campaigns has controlled inoculation with tuberculosis as a method for rich women to look suitably wan and feeble and hence, attractive. The {{squick}} is intentional.

* In ''Webcomic/NextTownOver'', Markus [[http://squidbunnies.com/nto/?p=326 thinks]] that Vane Black looks faint and pale and might have consumption. Given her previously revealed antics, this is improbable.

[[folder:Western Animation]]
* An episode of ''WesternAnimation/DrawnTogether'' had Princess Clara contract "the consumption".

[[folder:Real Life]]
* TB was responsible for around 1-out-of-5 deaths in late 1800s UK, mostly affecting the urban poor.
* The real Marie Duplessis died of tuberculosis, and her last two lovers stayed with her til the end.
* It was considered fashionable and romantic for young women to seem sickly. To achieve this, many turned to morphine. Some scholars have suggested that [[OfCorsetHurts tight-lacing]] became fashionable in part because it mimicked the symptoms of tuberculosis.
* It has been commented that tuberculosis lent itself for literary treatment in the 19th century because its symptoms are such that they can be aestheticized, while this is not so easy with other great killers of that era like typhoid or especially cholera, where victims die of dehydration as their bodily fluids unappetizingly leave the body via the ... end of the digestive tract. However, these are mentioned in a few later literary works, such as typhoid in ''Literature/{{Buddenbrooks}}'' and cholera in ''Literature/LoveInTheTimeOfCholera'' and ''The Horseman on the Roof''. The latter novel contains horrifying descriptions, prettied up a lot in the movie version.
* Many examples of the Goth fashion aesthetic, as well as aspects of the Emo look, can be interpreted as a person who is very much alive trying to look like someone who is dying of Victorian Novel Disease.