Why did the Elron family adopt Orion?

They adopted him exclusively to harvest his blood for their ailing son.

How does Orion escape the Elron family?

He stages his own death to break free and vanish from their control.

After I Died, My Family Began to Regret

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After I Died, My Family Began to Regret — An elven orphan discovers his adoptive family views him only as a medical resource for their ailing son.

Orion enters the Elron household believing he has found kinship, only to uncover that his adoption served a single purpose: providing compatible blood for the family's sickly son. Years of forced transfusions strip away his autonomy, masking exploitation behind a facade of parental care. The revelation shatters his trust completely, prompting him to engineer a convincing death and vanish. Beyond the Elrons' reach, he traces his biological lineage and encounters genuine affection for the first time, while his former captors are left to face the consequences of their calculated cruelty.

Quick answers

Why did the Elron family adopt Orion?: They adopted him exclusively to harvest his blood for their ailing son.
How does Orion escape the Elron family?: He stages his own death to break free and vanish from their control.