Sand Mage of the Burnt Desert - Chapter 268

After Amihan, politician by day and otaku by night, died from a political assassination, she got transmigrated as the saintess in another world. But she always felt like a fraud. Why? If she was the chosen one, why did she feel so rotten inside?Also, wasn't she atheist?However, her years of forced piety and suppressed desires ended in spectacular failure - her decapitation.Three days later, she woke to the sight of a worshiper bowing low. “Welcome back, O Sun Who Burns The World,” they said.'Wait. What? I'm not the Saintess? I was this all along?'Furious at the wasted years of celibacy, moral dilemmas, and suffocating oaths, Serafine made a vow: no more pretending. No more rules. The world? Hers to ruin. The people? Playthings.But wait. It was harder than she thought because...How in the name of the Goddess Aurelia was she supposed to have her debut when she was surrounded by a bunch of suspicious and crazy beautiful women who wants to hunt her down?!This was no different from her previous world!

An underprivileged prodigy, a cruel, ruthless world, and an epic story of battle and conquest. A young man with an exceptional inheritance leaves the small, rural city from which he hails on a journey to find the girl of his dreams. He defeats countless prodigies, sweeps through all forces that dare to stand in his way, and progresses step by step toward the pinnacle of all the worlds!
“I’m not targeting any gods in particular. All I’m trying to say is that all gods are trash in my eyes!”

- Description from Novelupdates

He possessed the Xuan Gate Medical Arts and had fortuitously obtained a heaven-defying Spiritual Treasure!