The origin of a futakuchi-onna's second mouth is often linked to how little a woman eats. In many stories, the soon-to-be futakuchi-onna is a wife of a miser and rarely eats. To counteract this, a second mouth mysteriously appears on the back of the woman's head. The second mouth often mumbles spiteful and threatening things to the woman and demands food. If it is not fed, it can screech obscenely and cause the woman tremendous pain. Eventually, the woman's hair begins to move like a pair of serpents, allowing the mouth to help itself to the woman's meals. While no food passes through her normal lips, the mouth in the back of her head consumes twice what the other one would.
- Amy Villainous
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