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You yell this at someone when you're about to punch them in the face for being an idiot.
You: mad or nah? Them: What? You: You just called me an idiot and I'm about to punch you.
You: mad or nah? Them: I'm not mad. You: That's what you said last time and I still punched you.
You: mad or nah? Them: Yeah, I'm mad. You: Good. Now you're gonna get double-punched.