
Tenma Saki, a second-year student at Miyamasuzaka Girls Academy and keyboardist of Leo/need, was frequently hospitalized throughout her childhood due to a weak body and chronic illness. Her hospitalizations caused her to miss much of junior high and led to strained relationships with her friends. During these times, her older brother, Tenma Tsukasa, took care of her and tried to cheer her up with performances. Saki's exact illness is not mentioned in the game, but fans speculate that she has an autoimmune disease due to her physical frailty, proneness to illness, and fainting spells. Despite her health challenges, Saki is determined to enjoy her youth and make the most of her time, pouring her emotions into her songwriting.
| Characteristics | Values |
|---|---|
| Reason for hospitalisation | Born with a weak body |
| Age when hospitalised | Middle school |
| Frequency of hospitalisation | Frequent |
| Length of hospital stays | Long |
| Chronic illness | Yes |
| Type of illness | Autoimmune (fan speculation) |
| Symptoms | Fainting, catching illnesses easily, susceptibility to sickness from overexertion |
| Treatment | None mentioned |
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What You'll Learn

Saki Tenma was born with a weak body
Saki Tenma, a second-year student at Miyamasuzaka Girls Academy and keyboardist of Leo/need, was born with a weak body. This resulted in her being frequently hospitalized throughout her childhood and during middle school. She missed much of her school life due to her poor health and was separated from her friends. Despite her illness, Saki is described as cheerful and funny, always trying her hardest to get things done. She treasures every precious memory with her loved ones and celebrates every youth milestone, determined to enjoy her youth and make the most of her life.
Saki's older brother, Tenma Tsukasa, took care of her during her hospitalizations and visited her often, bringing her Hinamatsuri dolls. The two share a close and adorable relationship, with Tsukasa often showing off and trying to cheer Saki up with his over-the-top personality. He partly blamed himself for the falling out between Saki and her friends and worked hard to protect her friendships so she could live a normal high school life.
Saki's hospitalizations caused her to lose contact with her friends Honami and Shiho, although she remained in constant touch with her childhood friend Ichika, who visited her the most often. Upon her return to school, Saki was motivated to bring her friends back together, and they eventually formed the band Leo/need.
While the exact nature of Saki's chronic illness is never mentioned, fans speculate that she has some form of an autoimmune illness, as she is described as having a physically frail body, fainting easily, and catching illnesses or becoming sick from overexertion. Despite her illness, Saki's character is well-written and not reduced to her health condition. She has struggles and happy moments outside of her illness and is determined to make up for lost time, even hinting at her worry about dying.
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She was frequently hospitalized during her childhood
Tenma Saki, a second-year student at Miyamasuzaka Girls Academy and keyboardist of Leo/need, was frequently hospitalized during her childhood due to a chronic illness. Saki was born with a weak and frail body, which caused her to be hospitalized multiple times throughout her middle school years. She often fell ill, fainted easily, and could make herself sick from overexertion, suggesting an underlying autoimmune condition.
During her hospitalizations, Saki was cared for by her older brother, Tenma Tsukasa, who brought her Hinamatsuri dolls and put on little shows to cheer her up. She also received visits from her childhood friend, Hoshino Ichika, who continued to support her despite the distance between their homes and the demands on Ichika's time. Despite these visits, Saki's hospitalizations led to a strain in her relationships with other friends, such as Honami and Shiho, as they dealt with their issues.
Saki's frequent illnesses and hospitalizations had a significant impact on her life. She missed out on much of her junior high and school life, which made her treasure the memories she could make and motivated her to make the most of her youth. Her experiences also influenced her songwriting, with themes of celebration and support for those in need.
The exact nature of Saki's chronic illness is not disclosed in the sources, and it is referred to by some as an "anime disease." However, her determination to enjoy her high school life and her positive attitude, despite her health challenges, are notable aspects of her character. Saki's health improves by the time she enters high school, allowing her to pursue her passions and reconnect with friends.
Saki's hospitalizations during her childhood served as a pivotal aspect of her character development, shaping her relationships, outlook on life, and creative pursuits. Her experiences with illness and her subsequent determination to embrace life to the fullest add depth to her cheerful and funny personality.
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She missed school and lost contact with friends
Tenma Saki was born with a weak body and was frequently hospitalized during her childhood. She was hospitalized throughout middle school and missed much of junior high due to poor health. As a result of her hospitalizations, she missed school and lost contact with her friends.
Saki's friends at the time were Hoshino Ichika, Mochizuki Honami, and Hinomori Shiho. The four were inseparable. However, when Saki was hospitalized, the hospital was far away, and Honami and Shiho did not have time to visit her as they were dealing with their issues. Ichika continued to visit her, but not as frequently as Saki's brother, Tenma Tsukasa. During her hospitalizations, Saki spent time watching variety shows featuring Momoi Airi.
Due to her frequent hospitalizations, Saki missed out on her school life and youth. She treasures every precious memory with her loved ones and celebrates every youth milestone. She is determined to enjoy her youth and experience all the things she couldn't while she was in the hospital. She is also motivated to make up for lost time and worries about dying. Saki's illness is not specified, but fans speculate that she has an autoimmune disease due to her frail body and propensity to catch illnesses easily.
Upon returning to school, Saki found that her relationships with her friends had become strained. She was classmates with Ichika and Haruka during her first year and with Shiho and Emu in her second year. She worked to bring her friends back together, and they eventually reconciled and formed the band Leo/need. Saki's return also motivated her brother Tsukasa to become a performer, as he had often put on little shows to cheer her up during her illness.
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Her brother, Tsukasa, took care of her and entertained her in hospital
Tenma Saki was hospitalized during her childhood and throughout middle school due to a chronic illness. She has a physically weak and frail body, which makes her susceptible to illnesses and causes her to faint easily. Saki's older brother, Tsukasa, took care of her and provided entertainment during her hospitalizations. He is described as being overprotective and often worries about her health. The two share a close and adorable relationship, with Saki expressing pride in being Tsukasa's sister.
Tsukasa's showmanship and performer personality can be attributed to his efforts to cheer up Saki during her hospitalizations. He would put on little shows and do impressions of her, always trying to make her smile. Even when Saki was in the hospital, Tsukasa wanted her to experience joy and normalcy. He brought her Hinamatsuri dolls and posed with flowers to cheer her up, as seen in a comic panel on Tumblr.
Tsukasa also played a crucial role in reuniting Saki with her childhood friends. During her hospitalizations, Saki lost touch with her friends, Shiho and Honami, as they dealt with their issues. However, Tsukasa partly blamed himself for their falling out and wanted them to reconcile. He even took gifts from their mutual friend Toya, who often passed on plushies he won at the arcade for Saki.
Tsukasa's dedication to Saki's well-being extended beyond her health. He supported her musically and socially. Saki is a keyboardist and composer in the band Leo/need, formed with her childhood friends. Tsukasa, as the leader of Wonderlands x Showtime, encouraged her musical pursuits and wanted her to experience a typical high school life.
Overall, Tsukasa's love and care for his sister, Saki, during her hospitalizations and beyond, showcase their close bond. He entertained her, supported her health, and facilitated her social connections. Saki's hospitalization brought them closer together, and Tsukasa's efforts to bring joy to Saki during this challenging time are admirable.
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Her chronic illness is not specified, but she has a frail body and catches illnesses easily
Saki Tenma, a second-year student at Miyamasuzaka Girls Academy and keyboardist of the band Leo/need, has been hospitalized multiple times throughout her childhood due to a chronic illness. While the exact nature of her illness is not specified, it is known that Saki has a frail body and catches illnesses easily. She has been described as having a physically weak constitution since birth, which has led to frequent hospitalizations and absences from school. During her middle school years, she spent a significant amount of time in the hospital, causing her to lose touch with some of her friends.
Saki's chronic illness is a significant aspect of her character in the story, influencing her relationships and motivations. Her hospitalizations and health struggles have impacted her social life and friendships. During her time in the hospital, Saki's relationships with her friends became strained due to their respective issues and the distance between them. Despite this, she maintained contact with her childhood friend Ichika Hoshino, who visited her frequently. Saki's older brother, Tsukasa, also played a crucial role in supporting her during her illnesses. He took care of her, brought her Hinamatsuri dolls, and performed for her to lift her spirits.
The impact of Saki's illness extends beyond her personal relationships and influences her character development and outlook on life. Having faced health challenges at a young age, Saki values her youth and the milestones she achieves. She is determined to make the most of her time, celebrate youth, and create precious memories with her loved ones. This mindset shapes her cheerful and excitable personality, as well as her desire to help those around her get along. Saki's experiences with illness have also influenced her passion for music and her role as a keyboardist and composer in Leo/need.
While the specific details of Saki's chronic illness remain undisclosed, it is clear that it has significantly impacted her life. Her frequent hospitalizations and health struggles have shaped her relationships, character development, and outlook on life. Saki's determination to overcome her health challenges and her positive attitude despite them are admirable traits that add depth to her character. Her experiences serve as a reminder of the importance of cherishing one's health and the time we have.
Saki's chronic illness, though unspecified, has been a central aspect of her character's journey and has contributed to the richness of the story. It has allowed for the exploration of themes such as friendship, family bonds, perseverance, and the celebration of life. Saki's illness has also provided an opportunity for character growth, both for herself and those around her. It has highlighted the impact of illness on an individual's life and the ways in which they can adapt, overcome, and find joy in the face of adversity.
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Frequently asked questions
Saki Tenma was born with a weak body and has been hospitalized frequently since she was a child. She has a chronic illness, though her exact condition is not mentioned.
Yes, her childhood friend Ichika Hoshino visited her the most often, aside from close family members. Her brother, Tsukasa, also visited her and brought her Hinamatsuri dolls.
Saki missed much of junior high due to poor health and lost touch with her friends Honami and Shiho. She was determined to enjoy her youth and make the most of her time when she returned to school.
Saki spent time watching variety shows featuring Momoi Airi. She also received visits and gifts from her brother, Tsukasa, who put on performances to cheer her up.
Yes, during her hospitalisations, Saki and her friends drifted apart due to their individual problems. However, upon her discharge, they reconciled and decided to form Leo/need together.







































