: The "Pain Olympics" was originally a legitimate event held at BMEFest parties, featuring competitions for pain tolerance through activities like play piercing or body suspension.

: While the "Final Round" video was largely debunked as an elaborate special-effects hoax, the broader BME community did feature real, extreme body modifications performed by consenting adults within the "Nullification" subculture (individuals who willingly choose to remove their secondary sex characteristics). The Shock Value Era and the Mechanics of Virality

A "mock" competition format with points assigned to the severity of the act.