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Did Ranma actually say out loud that he wanted to tell Akane that he loves her?
(Taken from: http://www.wot-club.org.uk/RanmaFAQ/) 

[Q4] It is not clear, as Ranma does not 'say' the text as a speech bubble or a thought balloon. The text is simply written over the page, and maybe it was deliberately kept unclear. However, Akane thinks she heard Ranma say it. It is possible that this scene might be intended to be a case of Ishin Denshin. This means empathy or silent understanding - a heart to heart, but also has other connotations - for example this is often associated with couples who have been married for some time.

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