The final known stage of bofa and has a near 100% fatality rate. Little as known as to get E-TMA, one has to first get ligma without the LIGMA-BALLS procedure. Some theories are now reporting that when tested in immune people who survived ligma but didn't develop E-TMA, that the next stage is the so-called "your mom gay" stage.

See also: Asiunia | Pounding | Sappho | Excluded from this narrative | Leaked

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