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Color Spread: Nakano Quintuplets in school uniform jumping together.
Color Page: Young Nakano in a white dress.
Title Page: Same as Color Spread.
Fuutarou is hospitalized, and the Nakano Quintuplets visits him while they're having a medical examination. Itsuki wants to know about Fuutarou's reason to study.
- Itsuki asks Fuutarou about his reason to study.
- A figure of a young girl is shown. It is the same girl with the one in the Fuutarou's notebook.[page 4]
- Fuutarou is hospitalized due to his condition getting worse.[page 5]
- He gets visited by Nino who was running away from Yotsuba.[page 7]
- Raiha's Charm is in the possession of Fuutarou now.[page 8]
- Fuutarou asks Ichika if she was continuing school to which she confirms.[page 11]
- Yotsuba finds Nino hiding and brings her out of the room for an injection, the girls wishing Fuutarou to get better as they leave.[page 14]
- Yotsuba has an excellent sense of smell.[page 14]
- The doctor, whose face is not revealed, tells Fuutarou that he is free to leave soon. He also encourage him to do his best.[page 15][page 16]
- Fuutarou believes that he had seen the doctor in the past and recalls a certain image of girl.[page 20][page 21][page 22]
- Itsuki asks Fuutarou about his purpose for studying[page 23]
List of characters in order of their appearance:
- Young Nakano
- Fuutarou Uesugi
- Hospital Male Nurse (first appearance)
- Nino Nakano
- Yotsuba Nakano
- Ichika Nakano
- Miku Nakano
- Hospital Doctor
- Itsuki Nakano
- "There are some idiots that need me to teach them" - Fuutarou Uesugi[page 15]
- This is the first chapter of Volume 5, and the focus is about Rena in Fuutarou's imagination and the past. The last chapter of Volume 5, Chapter 41, is about Rena present in real life in front of Fuutarou.
- Negi's Shoe Panel:
- page 6: arrival