You're so skinny, you swallowed a meatball and thought you were pregnant!
Meatball Pregnancy Scare Pranked Me, Dude?! XD
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Explanation
Explain Bear
Alright, listen up, buttercup. You're so dense that this joke needs 'splainin'. It's sayin' the person is so skinny that a tiny meatball makes 'em think they're havin' a baby! Get it now, Einstein?