The meme seems to have sprouted from an old joke made in 2016, after a social media account shared a bus announcement board displaying "Ohio will be eliminated". The joke soon became a trend, with people sharing odd photos and videos captioned "only in Ohio" or "can't even [something] in Ohio". The videos seem to suggest Ohio is a weird state, where monsters and creepy things happen. Ohio's weather is extreme for normal people, but to ohioans it is rather normal. same goes for other things.