Kujibiki Tokushou: Musou Hāremu ken - Chapter 14

Earth has changed and with it so has humanity.Follow Miwen as he makes use of his Gift, Gacha Kingdom Building.

You’re a struggling young doctor, barely making ends meet with a measly $2000 monthly income. Life’s pressures and trials weigh heavily upon you!But lo and behold! One fine morning, you wake up to find yourself equipped with some sort of cheat codes…You’re scheduled for an appendectomy, so you roll up your sleeves and get ready to explore the abdominal terrain:You touch the cecum: “Cecum: Healthy!”You palpate the colon: “Colon: All clear!”You reach the appendix: “Appendix: It’s an inflamed, pus-filled appendix monster, level 15, rare creature. Recommendation: Perform an appendectomy!”With a decisive hand, you wield your scalpel and skillfully remove the troublesome appendix.“Ding! Rare appendix monster eliminated! Rewards: +100 experience in appendectomy, +$100, and a shiny white suture needle!”And thus, your journey begins as an emergency surgeon. But remember, with great healing powers comes great responsibility!

After spending half a year in the province, Cheng Yang took a luxurious cruise for seven days.
Accidentally hooked up with a CEO on the way.

Later, Cheng Yang found out that he was pregnant.
Just as Cheng Yang was preparing to secretly give birth to the baby, it was a coincidence that he fell asleep in the big president’s bed.

It’s impossible to run with the ball, his man is handsome and rich.
Must cling tightly and can’t be torn down.

- Description from Novelupdates

The villainess sees herself executed in front of a large crowd by the order of the emperor (her husband and the one she loves). However in the next moment after her death, she is back in the past. Monique is sent back into the past because of her brutal memories of her previous life with a prince who was engaged due to their similar age. When Empress grew and looked at the past, she killed her emotions to live as an Empress and remained one emotion, that was sickening affliction. Where in her next life, she made new connections in order to avoid getting executed again…