MTL - Doctor’s Life Simulator - Chapter 171 The first appendectomy!

A supreme expert in the Immortal World had died, and a strand of his soul returned to its original body on Earth. Tang Xiu discovered with amazement that ten thousand years passed in the Immortal World, yet only a single year passed on Earth.

Ruthlessly betrayed by his lover and trusted friends, Tang Xiu found that his soul went back to his previous body on Earth, and, despite he spent 10,000 years in the Immortal World, just a year has passed on Earth and many things have changed. Having an unsurpassed knowledge, Tang Xiu will protect his loved ones and go back to the Immortal World to take his revenge.

- Description from Novelupdates

The protagonist, Punk, is a cautious, cold-blooded, and ruthless Mage.

His goal is always his top priority, over feelings or morality. When unnecessary, he doesn’t like to act like pigs to eat tigers; there are almost no life and death struggles, sometimes risky but steady progress. No strong enemy everywhere, Instead, Punk is always a strong enemy of others.

And he has a very keen interest in the secrets and teachings of the Netheril civilization.

[First monster slain. Special rune obtained. Level 2 has been reached.]