In a November 2020 tweet, Puppers said that he had no idea what was going on with his voice. All he knew then was that his overall health was declining. "Really tired of my voice and everything going on with me," he said. "My health is dropping and I have no idea why... Just tired of it all. Tired of people thinking I'm always drunk/high all the time... Tired of choking on water when i just want a sip, tired of the way I eat and drink now..."

In the following tweet, Puppers said he had plans to see a doctor. "Tired of the way effects my stream and YouTube videos... I'm really hoping this doctor appointment Dec. 4 does something but [I know] they won't find or do anything..."

Puppers has also been open about not liking when people comment or joke about the way he speaks. "Today was a rough day with all the people coming by the stream making jokes about the way I talk," he tweeted back in November. "Sadly banned alot of people today. But everyone that stuck around and that was friendly I love you and I hope you have a great night."