ER is used to describe when a persons actions are so outrageous that their mental state is in question, insinuating that they should be sent to the ER (Emergency Room)
An acronym used in incel (involuntary celibate) communities and blackpill-adjacent online spaces, standing for Elliot Rodger (often stylized as "E.R." or simply "ER"). Elliot Rodger was the perpetrator of the 2014 Isla Vista killings, a misogynistic mass murder-suicide where he targeted women and others he blamed for his romantic/sexual rejection. In incel slang, "ER" refers to him directly, while phrases like "going ER," "pull an ER," or "go ER" euphemistically describe committing (or fantasizing about committing) similar acts of mass violence—typically murder-suicide—as "retribution" against perceived societal rejection, women, or "Chads/normies."
Person A: "Another rejection today, life is over. Might as well rope."
Person B: "Bro, don't LDAR forever. If you're truly blackpilled, just go ER and make them pay. Saint Elliot did it right."
Person B: "Bro, don't LDAR forever. If you're truly blackpilled, just go ER and make them pay. Saint Elliot did it right."
ER by Brave traveler 88 March 15, 2026
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