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On Sep 7, 2021, he announced he is going on an indefinite hiatus from entertainment and performance activities due to an early onset neurological disease that at one point was a "life-threatening condition." His condition has since stabilized, but he remains on hiatus to focus on recovery. On May 17th 2022 it was announced that Gackt was yet to fully recover, but would resume activity by the end of the year.

He is the voice provider of the vocaloid Gakupo Kamui