- Tear Jerker: Definitely. It's a Death Fic involving Pinkie Pie succumbing to diabetes, after all.
- Fridge Horror: Mixed with Harsher in Hindsight. The absence of Pinkie Pie affects the entire town of Ponyville so much that one is willing to break the laws of nature to revive her just so that Ponyville will be back to normal... And if her being absent and working at Sweet Apple Acres that one time had caused everyone to break out into fights, imagine what would have happened if she died.
YMMV / Bitter Sweet