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"Y tho" is a term used regularly nowadays. Stemming off of the phrase "why, though" it has been recently used to show confusion in a trolling type of manner. If, say, someone does/says something unintelligent, it is appropriate to reply with "y tho". For people not to confuse "y tho" with "why, though", squint your eyes while protruding your neck and calmly, in a small voice say "y tho?".
(Also there is a meme associating with this phrase.)
Person 1: Honestly, y'all are just vapid, y'all should leave.
Person 2: y tho?
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by Kim Taehyung's bear June 13, 2018
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2
An abbreviation of "Why, though?" mainly used as a joke or pointless comment in online discussions.

The phrase picked up a large following in popular random-topic communities on GreatestJournal.com.
user1: "Help me choose my MySpace default!"
user2: "y tho"
--
user1: "omg guys my fob shirt came today"
user2: "y tho"
by licia February 19, 2007
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3
Used to express hopeless frustration when something goes wrong. Used mainly by people originating from Tumblr.
Random Kid: *Shows tumblr user a stupid meme*
Tumblr user: "Y tho?"
Random Kid: *Puts phone in pocket and walks away*
by cho-pon July 25, 2016
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4
A massive lacking of understanding or comprehension of what you are witnessing. To be confused beyond the realities of the real world. A true blown lightbulb moment.
Sarah Palin: I can see Russia from my house.
Katie Couric: Y Tho!
by TheTasteofUnicornMeat April 22, 2017
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5
An abbreviation for "Why Though?". Often used amongst chat groups and teenagers. Often read in a whiny voice, or sarcastically.
Friend: I'm grounded. No party tomorrow.
Me: Y tho.
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by SeeIKnowStuff October 30, 2018
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