America's world swam around him as a major change of scenery hit him hard. He really wasn't used to teleporting, leaving him just as confused as Canada, who was still staring at the spot the two were previously in incredulously. 

Scotland tsked from above, arms crossed, glaring narrowly at the now slightly sick American on the floor, then snapped at him to get up already. Even more confused and nauseous, America did so, even though he wasn't previously aware he was lying on the cobblestone street. Naturally, Scotland didn't extend a hand to help.

Once America was back on his feet, Scotland wordlessly turned on his heel and stalked inside the building the blonde only just recognized as a hospital, clearly wanting for him to follow, which he did, yet not without some grumbled protesting. 

Upon entry, Scotland immediately harassed the nearest nurse, going so far to yell at her when she didn't seem to give satisfactory responses to his barricade of questions. Sheepishly, America hung slightly behind, shooting the nurse an apologetic glance once the red-head got his way and went off in a direction, leaving America to follow like a lost puppy.

They entered a hospital room, and America had to squint to see who was laying in the lone hospital bed, as he dimly thought that he really needed to get glasses soon. Coming closer and ignoring the burning at the back of his skull that was the result of a glare from a livid Scotsman, he recognized them as... England, giving him a shock. The Englishman looked so much thinner and paler compared to the last time he'd seen him, it was near sickening. 

Though America knew not what was worse; His condition from what he could see, or the fact that England flinched away upon sight of him, seeming to be trying to look through him. Tentatively, America edged closer, and asked; "Hey, man... Uh, what happened...?" But then immediately winced at how lame his question sounded.

Upon receiving no reply, America silently cursed Scotland for not explaining more clearly, but his savior stepped through the door at that moment, then gently shut it behind him. France, who raised a brow coolly at seeing America unharmed but explained everything he knew quietly, while Scotland fretted over England in the background, though spoke in softer tones than normal. 

It then hit America how severe the situation really was, and it hit harder than he would have liked, as guilt gathered in a giant ball in his stomach and settled there, weighing him down. 

Would... Would England even talk to him anymore?

And God, was it terrifying when the first words that England said to America were; "Are you real?"

He really screwed up, had he not?