Third place/Ingenuity With Language award to DaveMonkey for this one, for implying a second "y'all" and thus forming the collective
"[y'all] fuck all y'all [selves]":

Second place/Your Family Must Be Even More Fucked Up Than Mine award to Angry American for including a mom here that knows the extent of her son's sickness but will still eat or drink what he puts in front of her:
[img]/comics/AngryAmerican/372716/
And the winner of the first place/I Knew It Was Coming But Still Laughed My Ass Off When I Saw It award is HCRoyall for :

Thanks for playing, best of luck in your future endeavors.