Where a person has (due to the misfortune of succumbing to throat cancer) a breathing hole put in the throat, which is then violated by an erect penis. This act causes the hole to bleed, and the attempted breathing of the recipient causes blood to
spray in the formation of a bow tie on the
neck. If the blood fails to make this pattern, the penetrator should attempt ejaculate in on the recipients
neck to assure a bowtie is present. A Dickensian Bowtie is often (customarily in the Midlands of the UK) proceded by an Intergallactic Mushroom
slap.