The 'Forbidden Love' trope is quite popular. Since they are in a complex family situation in Brothers Conflict, their relationship might be seen as something that shouldn't happen, which adds an exciting element. Another is the 'Slow Burn' trope. Writers often take their time developing the relationship between Azusa and Ema, gradually building up the tension and romance.
A good mio x azusa fanfic often has a strong focus on their relationship dynamics. It shows how they complement each other, like Mio's more reserved nature against Azusa's enthusiasm.
Romance is a very common theme. Since Azusa is a popular character, many fanfics explore his romantic relationships, whether it's a budding love or a long - standing one. Another common theme is family. Given the context of Brothers Conflict, his relationships with his brothers and how that affects his actions and decisions are often explored.
One popular Brothers Conflict Azusa sick fanfic might be 'Azusa's Recovery Journey'. In this fanfic, it could focus on how the other characters in the story take care of Azusa when he's sick. They might show their love and concern through small gestures like making him warm soup or sitting by his bedside to keep him company.
Since I don't have in - depth knowledge of this specific 'ryoujoku hitozuma onsen azusa visual novel', I can only make some general assumptions. The onsen setting is likely to be a key aspect of the story, providing a unique backdrop. The 'hitozuma' might introduce elements related to the status of a woman in the story, perhaps her being a married woman brings certain plot developments. And Azusa could be the central figure around which the events of the novel unfold. But again, this is all speculation.
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I am not sure which anime you are referring to because you did not provide any relevant information. If you can provide more information or specify the specific anime, I will be more than happy to help you answer your questions.
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One benefit is that you get to experience a unique storyline. You'll be part of Azusa's personal journey of love, which can be full of twists and turns. It also allows you to see a different side of the game's world through her perspective.