MTL - Super Dimensional Wizard - v6 Chapter 3286 Princess Tiny

After getting forcefully reincarnated into a world of an otome game he has no clue about, the protagonist is then killed and brought back to life by the prideful villainess with one desire.

To rule the world.

As the ruthless girl’s Eternal Servant, how will he dodge the fate that the game system has in store for him?

One day, Zhang Fan, a poor medical student, receives a medical system from the future. This turns him into a new shining star in the medical field. Along the way, he must face medical corruption, competition, and infighting from other doctors, and even find time for a love life as he strives for the top of the medical field!

- Description from Novelupdates

Madeline Celeste d'Aumont is the first daughter of Duke Aumont and Duchess Louise-Marie d'Aumont who has been engaged to the Second Prince of Pays Des Abrutis since she was a child. The Second Prince decided to marry a woman closer to his own age and broke off the engagement to Madeline who was left with a broken heart and a reputation as being an unwanted woman even before she was an adult. The Duke decided to help his daughter regain her confidence and reputation by sending her to the Academy de L'échec.

Ito Aoi was the son of a Kendo master who ran a dojo in downtown Tokyo. One day while crossing the street to get some Yakitori, Aoi was hit by a delivery truck and woke up as the trash first son of Duke Montfort, Guy de Montfort. Duke Montfort also sent his son to Academy de L'échec only Aoi instantly recognized that he was now living in the world of an Otome Game that his sister loved to play and talk about all the time. Aoi recognizes that Madeline is the villain from the game. Aoi also recalled his sister saying that Madeline was terrible in the game, but is she really?

The formless ancient world was infested with despicable demons. They hunted and feasted on mankind, keeping the human civilization constantly in a weak and suppressed state.

During the first known year, a magical mountain descended into the world from the realm of the Gods. Carved on this enormous mountain was a message: ‘Heaven Prevails’…

After the Grand Descent, a name that was given to the descending of the mountain, the Three Great Sages made their ways to Mystic Mountain where they learned to harvest what we now call magic, establishing the Mystic Cults and eighty-one sacred shrines to help aid mankind with the cult’s mystic powers against the eternal fight to the death with demons.

- Description from Novelupdates