>>213111080It's a condition that is only recently becoming diagnosed. A boy grows up into a pussy soft adult with mental issues. He goes to a doctor and the doctor sees the telling signs
>tall skinnyfat stature>tiny dick & balls>lack of facial and body hairThe doctor then refers a blood test that reveals the patient has an extra X chromosome (XXY as opposed to XY). If he hadn't gone to a doctor then no one would know he had a genetic disorder and he'd just continue being a skinnyfat alien eternally confused why his life isn't panning out.
But since he found out he has this condition, he started roiding hard, growing out his patchy beard, and making himself as ugly as possible to compensate. Men with this condition cannot reproduce without costly medical intervention which is why Sam is childless. They have very tiny dicks which is why Sam doesn't have sex. Of course this kind of existence will make any man insane, the insanity manifesting in worse ways as he gets older. To live like that is a 24/7 humiliation ritual.