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Made solely from plain white bread and one slice of processed cheese, it is typically a sandwich eaten by someone who has hit rock bottom. The only additional ingredient allowed beyond bread and processed cheese is hot sauce; however, this changes the title to "spicy bum sandwich". Other abbreviations include: Hot bum sandwich (microwaved), Toasted bum sandwich (toasted white bread) or the famous one slice folded over version "the bum foldwich".
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