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The first indication that something has been seriously twisted up inside Kamikaze after his defeat and rape by Black Sperm is the visions he begins to suffer. Flashbacks, he thinks he knows what those are. Those are when he feels the monster's hands on him again, hears his taunts in his ear as if it's happening all over again.
No, the visions are not hallucinations of what was, but of things that don't exist. Yet. Visions of unimaginable violence, a raging lust for blood and a desire for death. Visions of a cataclysm to come, when for a brief time monsters rule the world. These visions overlay waking reality. Screaming and the roaring of a million trains fill his ears while he's attempting to go about his day, attempting to pretend nothing is wrong and he hasn't fallen apart inside. Sadly, everyone else acts like he hasn’t fallen apart either. So long as he doesn’t devolve into some monstrosity outwardly, there’s no issue. He acts like himself, smiles in the old way, says the things he used to, while all the while he thinks about tearing his closest allies limb from limb, bathing in their viscera, and consuming their flesh.