The 'Skull Cow Isn't Real, It Can't Hurt You' meme is a prominent variation of the 'Therapist' meme format, which typically features a dialogue between a therapist and a patient about an irrational fear. The visual centerpiece is a real photograph of a cow with unique facial markings that strikingly resemble a human skull. First appearing on social media and image-sharing boards like Reddit, the meme parodies the dismissive nature of therapy by presenting a 'cursed' image as an undeniable, looming threat. It is widely used to humorously illustrate niche anxieties, scary realizations, or simply to share unsettling yet fascinating visual anomalies found in nature.