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Something's been wrong with Patton for a while. I started following him on twitter when Full Metal Panic was coming back and he was a mess. Had...

No, he hasn't. Here he is pre-2017 Here is a picture of him from Colossal Con 18: He looks more gaunt.

I know he suffers from some sort of medical condition called PKU. That might have something to do with it. He just looks kinda gaunt to me. Edit...