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in order to play extreme patty cake, you must first start playing patty cake, then gain speed until one person slips up and then the person who didn't slip up attacks the person who did, after wards you must scream THE GAME!!!!!! at the top of you lungs then do the dorkiest dance you can for 5 seconds. Then you must successfully complete the coveted ninja high five by running at the person you played patty cake with then jumping high fiving in mid air, landing turning around and fist bumping, the epicness will then temporarily generate ghost nappa, and as he sees the epicness of extreme patty cake he will return to his living form for 10 seconds, after that he will return to annoying vegeta, and finally you must once more scream THE GAME!!! then you have completed EXTREME!!!! patty cake

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