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Summary
Akutagawa goes away for a few days for a mission which leaves Atsushi alone with nothing to do, it drives him crazy to the point he's throwing up and crying non-stop and goes through something worse than a panic attack.
or
Atsushi's loneliness is so bad it makes him physically sick.
(This is also a vent fic based off me for clarification! I don't mean to mischaracterize sskk at all!!)