Most of the time it's preceded by "Hold muh beer..."
Area I used to live, one drunk hoosier told his friends at a park, "Hey, everybody, look at this!" and swallowed a live fish. The fish got stuck and the bystanders couldn't get it out. Both hoosier and fish expired.
Another time, a bunch of drunks on an old deserted bridge decided to bungee jump. With a rope. The guy hit the end of the rope and it pulled his foot off. He splashed into the rive and survived, but his foot was never found.