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A humorous question is posed in large black text: 'Why did Santa's helper go to a therapist?' The punchline answer is provided below in slightly smaller handwritten-style text: 'Because he had low elf esteem!' The image incorporates a playful cartoon illustration of an elf-like character wearing a red and green outfit with a pointed hat, adding a fun and festive visual element to accompany the holiday-themed joke.

Santa's Helper Needs Therapy for Low Elf Esteem

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