I'm afraid I wouldn't be any help with that, since I don't believe Mithrun-san is Japanese.
But I think it'd be best to hope that offline events did not lead to his online state, rather than the other way around. I think that would be even more difficult a situation.
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But, I mean it definitely did seem like he did end up like that from HP loss. It's just also everything else too.
Including his "real life" situation which we seem to have no answers on as well.
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I'm afraid I wouldn't be any help with that, since I don't believe Mithrun-san is Japanese.
But I think it'd be best to hope that offline events did not lead to his online state, rather than the other way around. I think that would be even more difficult a situation.