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This is one of the strangest and darkest comics I've ever published in Bizarro. The idea came from the strange and dark Malo, a virtual hermit who lives in Greenland somewhere and only communicates with people via emails and piano sonatas.
He sends me twisted ideas all the time, the vast majority of which are too dark and twisted to be allowed in the funny pages. But this one was very close to the line and I liked it a lot so I asked my editor his opinion, and he said "go for it." Or some more educated equivalent.
I wondered if I might get some negative mail, but so far nothing. I did get one note from an OB/GYN clinic that wanted to use it in some literature they pass out to their preggernauts about not smoking or drinking during their pregnancy. A fairly hip clinic, I'd say.