The episode concludes on a devastating note. When Kousei and Watari finally go to visit Kaori in the hospital, they witness her condition turn critical as she suffers a seizure.
finally admits to himself and Watari that he is in love with Kaori Miyazono, resolving to be honest about his heart. Shigatsu wa Kimi no Uso (Dub) Episode 20
Honesty vs. lies, the powerlessness of love, and the "Hand in Hand" motif representing both connection and the inability to help. Your Theme in April: Ep 20 – Hand in Hand | Weekend Otaku The episode concludes on a devastating note