The 'Black Man With Puffed Up Cheeks' meme, often referred to as 'Holding In Cough,' features an image of a man with his mouth tightly shut and cheeks expanded as if he is suppressing a strong physical reaction. This image became a viral sensation as a reaction photo to represent situations involving intense self-control, such as suppressing laughter during a funeral, avoiding a cough in a quiet room, or holding back a savage retort. Its popularity stems from the highly relatable physical tension depicted, making it a staple for any scenario where maintaining a straight face feels like an impossible task.