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When I was a kid, and the circus came to town every year, there was always a Freak Show tent, written in large letters: FREAK SHOW.
Though kids weren't allowed in it, they had posters of the attractions, like the world's fattest woman, and sword swallowers, and one was the freak half woman-half man - with a painting of a person with long hair and a boob on one side, and a beard and flat chest on the other side. We grew up naturally calling them freaks.