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Gore up ahead. Btw I do not know how anything works, so don't be angry if methods are not accurate.

"Let's try out the whip first"

America picked it up and began whipping Romano. He quickly glanced at the bottle in his hands.

"Dammit. Ow! Stop! Yeah I'm gonna stop chatting..."

Romano quickly silenced himself as the whip started going through the thin cloth of Romano's military uniform. The uniform was useful in Italy, where it was hot, but certainly not very nice for very low temperatures, or protection from a whip that was about to hit his bare skin.

A bit of blood dripped onto the floor, giving Romano the clear vision of the continuously pouring red liquid. Suddenly a greater pain made its way to his wound.

"CHIGI!"

America chuckled. He haven't heard Romano make any noise since some time ago. He smiled and stopped pouring the lemon juice. Saving some for later. The whip continued until Romano was nearly bare.
America examined Romano more. His eyes were closed shut with some tears coming out. His pale skin was littered with scars. And the curl..... it was in a weird shape. He shoved Romano on his side. His newly formed scars hitting another part of the colder ground. He winced shut his eyes closer.
America took out his knife and scanned Romano's back. He could do as much damage as he want, after all. England will fix him up.
He started with the ankles. He cut into the heel and carved it until it was gone. Romano screamed with anguish. America did it again with his other heel and again Romano cried. America let out a blood thirsty smile.

"It's been a while since I had this much fun. The heroes will always punish the villain."

America then went to his elbows. He cut deep in it and carved out some muscle from the inside of the skin. Romano opened his eyes before closing it again. The same method happened. The shoulder blades were different. America had flipped him over. He shrieked as his injuries hit the ground. Blood poured out from everywhere as it painted itself around the floor.
America then went down and ripped out the main muscles from his legs. He can't even scream anymore since his voice died out.

"Oh... I forgot about your voice box. I guess it is useless now since you can't use it."

America creeped towards Romano's throat. His knife slowly coming over, to meet Romano. America then held out his hand to secure a place to cut. A hot salty liquid met America's hand as he was reminded of something else. He proceeded to faintly carve a box before mercilessly shoving his knife into Romano's throat. The end of the knife just pointing out of the other side. He slides his knife around, carving a circle, making the pain more agonising.

America and his bloodied knife left the body, and quickly went upstairs.

Romano breathed a sigh. Although the pain was still agonising, it was worse when it was first being carved. He wondered what set out the punishment. Is failed escaping that bad... or is he that thirsty to torture another country that won't faint or die as easily.

"I'm back~"

Romano lifted his eyes to see America with some burgers. He closed his eyes, but felt extra pain in his heels. He felt something getting shoved against the wound. He then mentally shrieked when he felt some burger bits in the wound. It continued with his legs, arms, shoulders, and then his throat.

America then brought out the thread and needles and began sowing. He wasn't  good at all, so he could feel the needle piercing a lot of spots that was not near the wound. He wondered if it was intentional.

America then left the room, the door closing, and with it the tiny light that allowed him to check his injuries.

The process happened for three days, but with different spots, and with different equipment. For example, America tried burning the curl, but the curl had magical powers to not allow forceful burning of the hair. His face did suffer the consequences.

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