anything
Karkat yelling anything.
Karkat Vantas being chainsawed in half by that guy from Resident Evil 4. Dr. Salvador
A man tries to speak gibberish but is thwarted by a policeman he squirts ketchup all over him.
Hitler has just read Bible fanfiction
Puke guy meme wearing a top hat!
A man with a top hat puking
A gentleman in a top hat is violently ill.
Gentlemen falling ill
Doodle or Die is the game of "telephone" with drawing!