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Does this trope always have to be fatal? In Season 2 of Baka And Test, Akihisa accidentally sends a text message to Minami, and when it looks like it's a Love Confession, he immediately spews blood from his mouth. He looks over it again, and spews some more blood. Later he borrows his friend Yuuji's cell phone, finds out that the only number on there is Shouko's, and sends a text to her as if it was Yuuji sending a Love Confession. Yuuji then spews some blood from his mouth as well.
Keep in mind during this whole time, the scene is Played for Laughs, and is pretty darn hilarious.
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