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Because Scarlet Sisters are just too cute.

"The nosebleed is a visual shorthand/euphemism for sexual arousal" Taken from http://tvtropes.org/pmwiki/pmwiki.php/Main/Nosebleed

Since Sakuya is often depicted to have feelings for (at least) someone who lives in the scarlet mansion...(so far, this has included Remilia and Flandre Scarlet, and Hong meiling, for some odd reason...)

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