You're so skinny, death mistook you for dead.
So Skinny
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Explanation
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Explain Bear
Listen up, nimrod! The joke is that the person is so skinny, they look like they're already dead. Death, the grim reaper, couldn't tell the difference! It's like saying you're so dumb, you can't find your own butt with both hands tied behind your back. Get it now, buttercup?