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This image was taken from the episode "Volcano" Season 1; Episode 2
Cartman is telling a story about Scuzzlebutt, who lives on the mountain and kills anyone who dares to climb to the top because it likes the taste of blood and to add pieces to its deformed body. Instead of a left hand he has a piece of celery and one of his legs is missing and has been replaced with Patrick Duffy. He also claims that he weaves wicker baskets as a hobby.
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