MTL - Princess Medical Doctor - ~ 1002 crazy, two emperors

A 34-year-old NEET otaku, chased out from his house by his family, found that his life is reaching a dead end. He then recalled that his life could actually have been much better if he had made better choices in the past.

Just when he was at the point of regret, he saw a truck moving at fast speed, and three high schoolers in its path. Mustering all the strength he had, he tried to save them and ended getting run over by the truck, quickly ending his life.

The next time he opened his eyes, he is reincarnated to a world of sword and magic as Rudeus Greyrat. Born to a new world, a new life, Rudeus decided that, “This time, I’ll really live my life to the fullest with no regret!” Thus starts the journey of a man yearning to restart his life.

After seeking pleasure in the nightclub and a night of romance, he discovered there’s a seed in his stomach;

In the middle of the night, looking at the woman in his embrace, he smiled devilishly, “With your discontentment, do you want me to continue?”

“When I left you, it wasn’t because I was materialistic.”

“I know.”

“He doesn’t love me. I already broke up with him.”

“I know.”

“You knew? I didn’t know you were still so concerned about me…”

“I know because he and I are now a couple.”

This is a story about how a poor loser turned into a tall, handsome and rich guy and snatched his ex-girlfriend’s current boyfriend away.

- Description from Novelupdates