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"These two things may seem disconnected" No. They don't.

They also both require terminal levels of autism, but where's the article about that

Because, being fat makes you unattractive to men/boys and can cause you to get bullied by girls. Difficulties in feeling yourself to be attractive...

Who even was trans in Undertale? The closest thing I could think of was that Lion monster who was a fan of Mettaton's show and decided to...