How Does Someone Become a Ghoul in Tokyo Ghoul?
In Tokyo Ghoul, someone becomes a ghoul usually through organ transplantation from a ghoul to a human. This is what happened to Kaneki when he received Rize's organs after a serious accident.
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Simple: get organ transplants from a ghoul! That's how Kaneki became one.
Ghouls are typically born that way in Tokyo Ghoul. However, humans can become ghouls through organ transplants from ghouls, like Kaneki.
It's fiction, folks. Just enjoy the ride and don't overthink it!
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