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In "Me and Earl and the Dying Girl," the central conflict revolves around Greg's struggle with his feelings of helplessness and awkwardness in the face of his friend Rachel's leukemia diagnosis. As he grapples with his desire to support her while also maintaining his own emotional distance, Greg confronts the complexities of friendship, love, and mortality. This internal conflict ultimately leads him to reevaluate his relationships and the meaning of true connection.

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