Learn what "she needs to know i'm alive" means, when people say it, and how to use it naturally in English.

It means the speaker feels it is important to let her know they are alive and safe.
From The Pendleton Secrete, Episode 57
Someone is saying another person needs to know they are still alive.
Use this in dramatic or urgent situations when contacting someone after a long absence. It is context-specific and not a common standalone phrase.
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