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Summary
Sam is running a fever again, the kind of fever no Ibuprofen or cold compress will bring down, the kind of fever that is eating him up alive, eviscerating him from the inside. He is too hot and too cold and too pale, delirious and shaking, resonating with whatever divine energy the trials are subjecting him to, and Dean is not sure how much longer he can stand to see him be in this state.
Because Sam is quite possibly dying, and there is nothing Dean can do to stop it. Because Sam is dying, and he just. Won’t. Shut. Up.