The 'If You Know How I Feel Why Would You Say That' meme stems from a viral video clip capturing a moment of intense emotional vulnerability and dramatic disbelief. It gained widespread popularity on platforms like TikTok and Twitter as a reaction image or video used to call out someone for making a painfully accurate or insensitive comment. The humor lies in the exaggerated reaction to a situation where the other person is usually right, but their delivery is too blunt for the recipient to handle. It is commonly used in contexts involving relationships, friendship dynamics, or when someone points out an embarrassing habit or a hard-to-swallow truth.