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Patrick's Forehead first appeared when Patrick Star ate some of Sandy's unknown toxic waste and a miniature version of himself grew on Patrick's forehead. When SpongeBob says that he is going to find a new job, Forehead Patrick says that he will never get a job, so Patrick Punches him.
In the episode Patty Hype, SpongeBob asked Patrick why he was angry. Patrick replied that he could not see his forehead.