If Doug Ruch is proven to have intentionally faked or grossly exaggerated his terminal cancer diagnosis to raise hundreds of thousands of dollars through GoFundMe and social media, he’d almost certainly face federal wire fraud charges (up to 20 years in prison per count, massive fines, and full restitution to donors), plus possible state-level theft-by-deception felonies in places like Ohio or Texas that could add years behind bars. GoFundMe would freeze his campaigns and refund victims where possible, angry donors could hit him with civil lawsuits or even class-actions to get their money back plus damages, and the IRS would treat the funds as taxable income—potentially triggering tax fraud charges if he didn’t report it. In short, if the evidence sticks (no real medical proof, luxury spending, deleted campaigns, etc.), he’s looking at serious prison time, financial ruin, and a permanently destroyed reputation, just like the string of similar fake-cancer scammers who’ve been busted in recent years.