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I put coughed up blood for Mikasa to based on the. Tachi vs sasuke since itachi has a terminal illness holy crap XD THIS IS AMAZINGI don't think he will. I mean, he can shout and it won't sound like a whisper, but then he can't finish what he was saying and he'll cough up blood. I think he'll learn sign language at some point, and maybe Morse code so he can communicate over radio or something.