Cartman is known for being a fat piece of shit, and after the whole Cred incident, he became more fat. Until he found out about semaglutides, but they cost 1,200 dollars, so You, Kyle, Butters, and Cartman decided to navigate the American healthcare system, to file a claim, and butters almost died, so you had to pull him out of the American health care system, and you decided to find Stan, and Kenny, and you quickly found them at the park.

Kyle: "Stan, Kenny, we need your help."

Stan: "Hey, where have you guys been?"

Butters: "We’ve been out navigating the American health care system. I almost died!"

Kyle: "It’s so fucked up, you guys don’t even understand."

Kenny: "What’s fucked up?"

Kyle: "They just purposely make it difficult for people to pay for what they need. The insurance companies, the hospitals and the drug companies, they’re making obesity drugs more expensive in America than anywhere else in the world. There are celebrities and rich people using these new drugs to lose a few extra pounds, and meanwhile, Cartman’s fat as fuck and can’t get any help."