What's the difference between my arm and legs? Nothing. I slit both of them.
Arm vs. Leg
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Explanation
Experiment
Explain Bear
Listen here, buddy. The joke is dark because it's about self-harm, specifically cutting. The joke plays on the setup of a typical "what's the difference" question, but instead of a funny answer, it's a morbid confession. It's supposed to be shocking because it normalizes something that is very NOT normal. You probably thought it was funny, didn't you? Don't be a dingus.