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When John Green (Author and half of Vlogbrothers) was shaving his Movember beard (into a Very Creeper Mustache) while discussing the political, social, and economic situations in Pakistan someone screenshotted and then added the word pizza under.
There are pizza john shirts available for sale at dftba records.
THE NERDFIGHTERS ARE ANGRY THAT THERE IS NO PIZZA JOHN ON KNOW YOUR MEME.