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The Smothering Sickness was a deadly disease that raged across Rahen in the early 1400s, starting in 1414, killing an estimated 20% of the Raheni population. The consequences of this disease were catastrophic, including the deaths of Rajas Amanapurna II and Golpalar II along with much of the royal Family, destabilizing the Raj, and causing a major labor shortage devastating central power. While the slave trade in Rahen had been dwindling the massive decrease of workforce cause a drastic rise in enslavement along with spurring Raheni states' Sarhaly ambitions. Though there were some rumored remedies, such as Butterfly Weed from the Marutha desert and medicines crafted from Parusad Bhola's Ruby Garden, even these were limited such as in Parusad Bhola's case only leading to 13% of their population dying rather than 20.

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