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Pain Peko, or Pain-Peko, refers to an image of Hololive Vtuber Usada Pekora with an exhausted expression on her face, as well as a fake tweet from the Vtuber reading "pain-peko." Pain peko has become a popular catchphrase and post title among Hololive fans since 2020, used as a Hololive-themed version of the Pain format.
On September 5th, 2020, Redditor u/Xditslitfam_1209 posted to /r/Hololive, "it hurts ぺこ" along with a photoshop combining an image of Hololive Vtuber Usada Pekora's exhausted face with a photoshopped tweet from her official Twitter page reading, "pain-peko," making reference to the Pain meme format (shown below). The post gained over 5,600 upvotes in seven months.
The phrase spread across /r/HoloLive over the next few months often as a post title, attributed with images and content that invokes a pained reaction. For example, on September 14th and October 5th 2020, Redditors u/TongueBiscuit and u/poitat0 made posts to /r/Hololive titled "pain peko," the first showing a screenshot of the user missing a live stream, the second a piece of fan art depicting Pekora crying, garnering over 50 and 8,700 upvotes in roughly seven months (shown below, left and right). It remains a common phrase on the subreddit as of April 2021.
The phrase has continued to grow in popularity among Hololive fans throughout 2021. On December 27th, Facebook page Hololive ホロライブ – VTuber Group posted a piece of fan art by Twitter user @miannawzays with the caption, "This World shall know Pain-Peko!" garnering over 3,900 reactions and 870 shares in four months (shown below).
On April 15th, 2021, Twitter user @FireSisterBee posted, "This background girl looks like she's having a Pain Peko moment" along with a screenshot from the anime series Isekai Maou, garnering over 1,400 likes and 180 retweets in a day (shown below).
 Reddit – it hurts ぺこ
 Facebook – This World shall know Pain-Peko!
 Twitter – This background girl looks like she's having a Pain Peko moment
 Twitter – miannawzays
Apr 16, 2021 at 07:48PM EDT
Apr 18, 2021 at 01:26PM EDT
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