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When two people, of a decidedly less than adequate physical appearance, experience the desire to procreate, they must choose a method other than [sexual intercourse], because only hot people can have sex. So, the female feeds herself some really horrible food until she vomits so much that her unfertilized ovum comes out [in the puddle] of spew. The male then ejaculates into the puddle. The eggs are [fertilized], and, as the vomit evaporates, a cloud of ugly babies is born.
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