The 'Pull Off Your Skin' meme belongs to a subgenre of internet humor known as 'schizoposting,' which often utilizes unsettling or paranoid imagery for surreal comedic effect. The phrase usually refers to the terrifying sensation of formication—the feeling of insects crawling on or under the skin—and is used to mock extreme paranoia or simulate a breakdown in reality. It gained significant traction on platforms like Reddit, iFunny, and TikTok, where users pair the command with distorted images or high-pitched text-to-speech voices. While dark and unsettling, the meme is typically used ironically to subvert expectations or create a sense of digital 'cursed' content that stands out from more traditional internet trends.