It's a coping mechanism to overcome a stage 5 skill issues terminal disease by using cheat and premium item , the term is being popularised by Pao Roman, A gigachad legend in warthunder community who bragged a high win rate openly in a various posts.
Snel Doktor: you've got a Pao Romanache
A legend: what does that mean
Snel Doktor: my patients, it's a bad news , you're suffering a. stage 5 skill issues, the only way to cope it is by using a premium to work in tandem with cheats
A legend: I see
Ignorant Neurotic Terrible Jerks
A: this guy is an idiot
B: and neurotic most of the time
A : also terrible jerks
B : let's call him INTJ
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