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Let's go with recurrent for a moment. MW has it defined as "occurring often or repeatedly." Sure, he has clerics and his void oracle wife could heal him *every single day*, but that would show weakness. Yeah, when the disease actually gets him in its throes, he just has his wife pull down her heal spell from the dark elder gods she serves and he's back to ship shape for a while. It keeps coming back though.
How is this recurrent though? Hakotep had 2 known Shory slave/prisoners at hand: the ghost in the Pyramid, and Chsisek who designed the Aeromantic Infantabulum for him. Its not a stretch to see other Shory POW's being forced into servitude in his immediate vicinity. The Shory were tech geniuses, perhaps as part of their long game against Hakotep's offensive, they engineered a disease that specifically made *HIM* sick. Infect some of his house slaves, boom, he's constantly battling a disease that only makes him sick. Ironically, this just fuels his hate for Shory as he *KNOWS* its a conspiracy as it only he is getting sick.
Eventually, as the Order of the Blue Feather begins to work on removing Hakotep from power, they begin paying off the clerics, begin whispering in Neferesis' ear that the elder gods' will is for Hakotep to be sick, begin preparing for their ultimate corpse desecration. Eventually, as his greatest pyramid completes construction at the Slave Trenches, his sickness reaches crescendo, and the Blue Feather jumps into action, tearing his soul asunder as they embalm him.
Then the funeral comes, his queen and his retainers all load up on their pyramids, ascend to their staging areas, then the Blue Feather coups all the rest of the Hakotep regime, erases him from history, and lets the pyramids drift through the skies for centuries to come.