As hard as England could turned out to be very hard indeed, as Prussia releases him to stagger backwards, clutching his stomach in pain. He wheezes, gasping for breath, before finally collapsing to his knees. Unfortunately for him, he's definitely suffered some form of internal injury from that strike, because when he curls forwards, it makes severe pain lance through him. Pain strong enough that it makes Prussia retch, losing the contents of his stomach to the pavement. Which creates a somewhat vicious cycle, because the tightening of his stomach muscles only makes it hurt more, which only fuels his nausea. Soon enough, he's only dry heaving, having nothing left to throw up. "...ugh... fuck..."