Why does Ethan need a blood pact?

A witch states it is the only cure for the Moonshade poison keeping him comatose.

Why does Emily marry him?

She is forced to substitute for her cousin as the required Hill daughter from the Moonlight Pack.

Waking the Alpha: My Fated Mate

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Waking the Alpha: My Fated Mate — A forced ritual marriage between rival packs awakens a comatose Alpha who becomes obsessively devoted to his substitute Omega bride.

Nightshade Alpha Ethan succumbs to Moonshade poison, leaving him comatose until a witch declares a blood pact with a Moonlight Pack Hill daughter the sole cure. Emily, an orphaned Omega lacking status, is compelled to replace her cousin at the altar, anticipating a bleak existence beside an unconscious stranger. The ceremony itself shocks Ethan back to consciousness, and his first act is lavishing fierce protection and devotion on his new mate. Under his shield, Emily begins discovering her own strength while navigating pack rivalries and hidden enemies threatening their fragile bond.

Quick answers

Why does Ethan need a blood pact?: A witch states it is the only cure for the Moonshade poison keeping him comatose.
Why does Emily marry him?: She is forced to substitute for her cousin as the required Hill daughter from the Moonlight Pack.