Mike: "lets go play pretend!"
Joe: "Shut up Mike, you're downsyndrick!"

Bro since I got dirtpilled on Tuesday I have made sooo many worm friends and made them soo many little houses to get married in. Me? Lonely? No you’re the lonely one u lawn owning freak

To have autism and down syndrome at the same time.

Example:

Mike: "Lets pick flowers!"
Joe: "You must be a downsyndrick retard, get out of my life!"