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Pee Pee Hard, or Why TF My Pee Pee Hard is a slang phrase inquiring about why one has an erection with a childish manner sharing similarities with "How Is Babby Formed". It gained popularity by the end of the year 2009, and became widely used in shitposting and ironic usage.
The earliest-known online mention of the phrase came from a Yahoo! Answers question on September 8th, 2006<1>(shown below).
According to an anonymous Yahoo! Answers user, the very first mention of the phrase comes from a 2009 crunkcore song called "Sex Toyz" by Brokencyde, with the lyrics
I love it when you tease me !You make it seem so easy !When you make my pee pee hard !Girl you make my pee pee hard !
The phrase appeared online in image macros such as the one shown below, left, which appeared on Cheezburger, before it was added to Urban Dictionary on August 18th, 2016<2> (shown below, right). On September 17th 2018, Redditor u/iDrinkOxygen submitted a copypasta with the title "Why is my peepee hard?"<3>.
The phrase began seeing more use in shitposts in the later 2010s. For example, it appeared in a post on /r/dankmemes<4> on January 4th, 2018 that gained over 550 points (shown below, left) and an Imgur deep-fried post on October 1st, 2018 (shown below, right).
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PP refers to a screenshot of a musical annotation meaning "pianissimo," or "very soft." The screenshot has been circulated as a reaction image within various meme enthusiast subreddits, where the annotation is used as a double entendre referring to a flaccid penis.