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His father, Chief Runs With Premise, owns the Three Feathers Casino and wants to build a super-highway through South Park. South Park stands up to the Native Americans, who intentionally infected them with S.A.R.S. Chief Runs With Premise later learns that his son had shared a drink with one of the infected Chinese men and had contracted the disease. Premise Running Thin is later cured with the "middle-class white way" cure for S.A.R.S., which consists of warm soup and Sprite.
Premise Running Thin is a Native American boy with long black hair. He wears a red and yellow striped headband with a blue feather. He also wears a light blue shirt with a dark blue and white diamond pattern on it.