Across South India's cities, the Saturday night ritual of biryani, ghee roast, and shared drinks has long been a language of belonging and celebration. Yet cardiologists from Chennai to Bengaluru are now reading a quieter story in the bodies of patients in their 30s and 40s — one written not by any single feast, but by the slow accumulation of weekly excess. The question medicine is raising is not whether pleasure has a place at the table, but what happens when the exception becomes the rhythm.