Twitch sensation Kai Cenat has been crushing it with his Mafiathon 2 subathon, now on day 22 of a brutal 30-day stream. But the grind may be catching up with him, leaving fans seriously concerned about his health.

On November 22, Kai dropped a bombshell: he woke up coughing up blood. He told his viewers: “I coughed up blood into a cup this morning.”

“If you look in that cup, there’s blood and spit. …I’m sick. My chest is completely congested.”

It turns out the streamer has been suffering from a chest cold, but the constant streaming has made recovery difficult.