Disclaimer: For those who are familiar with me translating VK raws from Chinese, you will probably know this very well by now. Basically, lost in translation will occur. This will inevitably be wrong in certain spots. Other areas, the dialogue could be worded a bit better but I want to keep everything as direct translations wherever possible.
Also, whenever on character is speaking across several panels, I put them in separate lines.

Title Page - Vampire Knight Seventy-Sixth Night: Dark Pills
Byline: Arrogant blood

Page 1:
Shiki, staring at the tablets: ... you want to give me these?
Takuma: Yup, I’ve already taken this new pill and the flavour is really good
[next panel] You said before the current pills’ flavours aren’t that great, right?
Shiki, staring: hm... well, if it’s Ichijou who’s giving it to me –
[He reaches for the pills, but Takuma yanks them back]

Page 2:
Shiki, annoyed: What, Ichijou?
[Takuma’s hand is trembling]
Takuma: Shi-Shiki! Danger...
[Next panel, Takuma reacting strongly with Shiki looking confused] Danger, don’t come near me!
Shiki, looking exasperated: Since yesterday, Ichijou has been acting super weird
Takuma, incredibly cheerful: There’s no such problem, here, this is for you!
[next panel, looking terrible] No. No. No. Can’t do it!!
Shiki: ...

Page 3:
Rima: Ichijou’s been acting strange...?
Shiki: Hn... although he’s always been a strange person
But this... I feel Sara-sama is controlling half of his consciousness
Rima: ... Could he be thinking of helping a certain someone by staying by Sara-sama’s side and monitoring (the situation)?
Ah, speaking of which, is this the suspicious blood tablets? I got this from my roommate.
Shiki: Ah, yup, it’s this. [He grabs them and chucks one into his mouth, much to Rima’s horror]

Page 4:
Rima: Wait, wait, Shiki!
Shiki, chewing: We’ll only know after we taste it, right? Hm... taste alright.
... But... what is it... this taste...
Rima: Seriously... just because you are a vampire, doesn’t mean you can do whatever you want with your body.
Shiki: Thanks for worrying...
Rima: Of course...

Page 5:
[Vampire Hunters]
Yagari: What happened? Those two...
Kaito, sighing: Who knows what happened?
But... it’s so fickle, isn’t it? If the relationship between those two improves, then (we’ll) use their feelings for one another...

Page 6:
Yagari: It’s so that should anything happen, we can be assured she’ll be obedient [think of it as insurance for her good behaviour]. To have Yuuki Kuran on our side is a good thing.
Jinmu: It’s because she’s a pureblood vampire that can utilize anti-vampire weapons
...Although, we don’t know why...
[Door swings open, and in walks Kaien with a boy (Touma) slung over his shoulder]

Page 7:
Kaien: I’m back. Although I’ve also brought back a slightly embarrassed pureblood as a souvenir [Not sure what the “embarrassed” bit meant]

Page 8:
Association president is asking for you, you should go immediately
Maria: Zero-kun... although his complexion has always been a bit poor, it seems as though it’s recently gotten a lot worse.
If only I could help....

Page 9:
Sara, walking in: Hello everyone...
All the vampire students rises and bows: Sara-sama

Page 10:
Sara: Hello, Yuuki-san...
You look like you’ve just seen something strange... what is it?
Rima, glancing down: Shiki?
Shiki: Hn... what?
Rima: Uhn...

Page 11:
Hanabusa, setting down his jar of pills: Looks like it’s the same thing
Akatsuki told me investigate this stuff. So I guess now’s a good a time as any
Yuuki: Ichijou-senpai once said the new blood tablets will enter the market. I think this must be it...
Heard it was Sara who changed it...

Page 12:
Yuuki: Please let me know as soon as the results are out
Zero, no matter how reluctant, will have to report the reports of the inspection to the association.
Yagari: What are you planning on doing, bringing back a pureblood
Kaien: “Planning on doing” – I can’t just leave him there to die. Having escaped from the clutches of Kaname-kun, the association is the safest place.
He said the next one would be Sara Shirabuki.

Page 13:
Kaien: Although we don’t know if it’s true or not, we should inform her to be more careful.
Yagari: Oi, idiot man
Kaien, flinches: Uhn...
[Yagari punches Kaien]
Kaien: What are you doing?
Yagari: Seriously, can’t take it anymore.
You – are you being serious here?

Page 14:
Yagari: Isn’t it better to just leave it alone? Who cares if vampires kill themselves...
Kaien: Are you still bearing a grudge over what happened before?
Yagari: No, it’s not that!
If the purebloods have “that sort of intent,” do you know what they’re capable of doing?

Page 15:
Yagari: They can become not only a tyrant to the vampires, but also all of mankind –
[Image of Sara]
[Yuuki, reading a letter]

Page 16:
[Yuuki looks stunned, with some of the new blood tablets in her envelope]
[Zero sees Shiki leaning against a tree with the new capsules in his hand]
Shiki: ... What are you looking at
Zero: Nothing... Where’s your dorm president?

Page 17:
Shiki: Who knows? As soon as rest period comes, she’s nowhere to be seen
[Scenes of all Night Class students holding the new pills]
Zero, following Yuuki: The association president’s been calling for you, why don’t you care?
Yuuki: ... Because there’re things that need to be dealt with first

Page 18:
Zero: There’s a message from Kaname Kuran through the association president
Hanadagi and Ouri were all killed by his hands [I’m guessing the names here, I don’t know exactly which two deaths Zero’s referring to specifically]
The next one will be Sara Shirabuki...
“To be by that person’s side” nonsense is enough already...

Page 19:
Yuuki: Do you think... that’s what I’ll be thinking? ....
Thank you for the message... at least I know Kaname has not forgotten about me
Or maybe I’m that person’s chess piece...
Then, from this day forward, a chess piece will act like a chess piece would... do what it was intended to do in the position it was placed in...

Page 20:
Yuuki: In Kaname’s hands, one step, two step, three steps, I’ll go. Then, I will go to see him.
[Yuuki attempts to walk past Zero but he caught her arm]

Page 21:
They stare, Yuuki smiles: What are you doing?

Page 22:
[Zero lets go]
From the moment you want to start properly

Page 23:
Finally, you have a flower that will only bloom for you, but there will come a day it will be swallowed by Zero, hm...?
Doesn’t it matter?
It’ll be like this
Kaname: ... You’re just gathering remnants of my filthy existence, Rido... [Not 100% sure about this line]

Page 24
Kaname: I understand. So please don’t keep asking these questions again.
You... are me

Page 25
Seiren: ...Sama
[Kaname opens his eyes] I saw you having a rare dream, but it didn’t look like a good dream, so I thought to wake you up...
Because from here on out, there are a lot of things that must be done waiting for you...

Page 26
Yuuki: The institute that Aidou-senpai works for investigated the new blood tablets. It looks as if there’s something added that should not have been added.
Stuff derived from the blood of purebloods.
Sara: Ah, that... the number of children who enjoy it is ever increasing [And yes, Sara did use the word “children”]

Page 27
[Someone appears to be locked in a cupboard]
Yuuki: whose could it be? Of course, it’s not mine...
Then... who –
Sara: That’s right, it’s mine

Page 28
Yuuki: Sara-san, the blood flowing inside our body is a very dangerous substance
[Takuma steps in between them]
Ichijou-senpai...?!
Sara: The blood we were born with... such rare powers of life... Don’t you feel if it was not fully utilized, then it would be no different being dried up... [i.e. if we don’t use it, it’ll just go to waste]
It’s not about who utilizes it but rather me letting my powers be utilized. Can’t that be so?

Page 29
Yuuki: That’s right
There’s absolutely no way I can allow it. Purebloods always do as they wish, causing consequences that others do not wish for, forcing them to do things they don’t want. [I think that’s the general gist of her words. Not 100% sure on the correctness of my translation though]
I will stop you
[Image of girl locked in the cupboard – is it just me or does she look like the guardian of the Hanadagi castle?]

Page 30
Sara: Heh heh... You... are talking about Kaname, right?
If you knew everything, then what would you do?

FINI
Witless Fool *Source*