In that case, I look sick around the clock. It's just that when you live in a metropolis, breathe dirty air, eat whatever you get, don't get enough sleep, catch a ton of stress, you naturally get a C grade in health, which affects your appearance. And this is how the majority live. Therefore, if you do not cover your face with a layer of makeup, it may really look sick.
If you are used to seeing a girl every day with an ideal face tone, skillfully accentuated eyes, perhaps false eyelashes, then when you see her without all these charms, what was hidden immediately catches your eyes: pallor, bags under the eyes, wrinkles ... In fact, the girl looks completely normal, you just are not used to seeing her like that. If you see a girl for the first time and she seems "sick" to you, it may be so: lack of sleep, stress, fatigue can make even the most beautiful person unattractive. I never focus on this, girls spend a huge amount of time to meet beauty standards, but in fact, they are adorable on their own