I saw this in a comment before, he may have dysmorphia. A mental disorder which makes him think that his body is flawed or ugly, when in reality his looks are fine.
Spoiler maybe? i dunno but kinda
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I saw somewhere That she can't tell him or something prevents her from saying it. :(
That's sad（/TДT)/ Best fan boy needs to know that he has his own best fangirl ╥﹏╥
In chapter 0 it shows her telling him he is handsome, he just doesn't believe it.
Oh. I just saw it somewhere but you're right. I think he has a curse that prevents him from believing her and other people. I might be wrong tho. It's like mental illness.
Just my speculation but maybe his parents raised him like that so he will wear his mask at all times.
A little spoiler
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I read the raw, and with my little to none understanding of korean, it was a way/? from his ancestor. I dont know if that was a curse or what. In the advance chapter they go to the castle to take the artifact but the king golemn was a sly one. Skip, the wife finally see Erden's face, ofc she shock, and he panic, she try to say that he isnt ugly but then headcahe came strong. In that moment, she is faced with something telling her he will die if she said the truth to erden. Skip, they return to Halstead, he tell a man (maybe the one who made the mask and knew the curse) that his wife saw his face, the man seems afraid but after hearing erden's answer he feel relieve yet a regret/sorry(?). That much of what I see from the raws. Cmiiw. (=・ω・=)
Im kinda curious of what happened to him when he was a child for him to think that he's unsightly or ugly? Maybe it was a curse or something? Or maybe not?