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It wasn't just a matter of injuries, but Aether and mental fatigue. Sylas hadn't been able to use his Madness for obvious reasons, and he hadn't used
They had already been running on empty after the first two skirmishes, and the only way they had managed to continue was because Cassarae traded for something she called Aether Rejuvenation Elixirs from the Nexus.
But that was the other thing, that being Cassarae herself.
By now, Sylas understood that the great strength she had displayed was as a direct result of her village. She couldn't easily step outside of its bounds, but that didn't come without its benefits either.