The 'The Fault In Our Stars' meme stems from the emotional peak of John Green's 2012 novel and its subsequent 2014 film adaptation. The dialogue 'Okay? Okay.' serves as a central romantic motif between characters Hazel Grace Lancaster and Augustus Waters, representing their unique bond and acceptance of their circumstances. On the internet, the template often features the characters' faces or the stylized blue and white speech bubbles from the book cover. While initially used for sincere fan content, it eventually evolved into a versatile format for irony, where the 'Okay' dialogue is replaced with increasingly absurd or tragicomic exchanges, highlighting the bittersweet nature of the original source material.