Cyberpunk: Ultimate Cyborg System - Chapter 50: Good luck with that.

Ali Avery was a successful young man adored by everyone. But things were not as they were shown to the life. Shunned and betrayed by his peers... He was hiding among happy facades.

A Di [legitimate-born] daughter of a noble house turns into an abandoned daughter. No father to dote on her, no mother to love her, no problem. She uses one silver needle to save a dying man. What’s so unusual about a medical injection? She roams all over the world with a scalpel in her hand. Cutting throats, cutting open abdomens, cutting open skulls to mend bones. With amazing medical skills and ethics, she gathers a flock of officials, obtains the will of heavens, gains public favor, and receives Taizi’s [Crown Prince] doting. In the midst of a powerful momentum, her cheap father comes to reunite. She coldly refuses to go home or acknowledge ancestors.

A wonder falling down from heaven! A boy possessed by strange blood! Gods tremble! Demons flee! A boy from the land of Dong Zhou. A pink skull as his sworn friend until death. A story of a determined warrior struggling for power. A legend that shakes the galaxy and disturbs the worlds of god, demon and man.

- Description from Novelupdates

Haruma Kazuki is a cursed (or maybe just deeply unfortunate) high school student whose lewd, panicked, or absurd thoughts literally manifest in reality — especially when he tries not to think about them. The more he denies or avoids feelings, the more chaotic and trope-heavy the consequences.