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Patrick's forehead first appears in Chum Bucket Supreme where it is unable to understand the restaurant's advertising sign and cries as Patrick comforts it since he couldn't understand either.
It later comes to life in SpongeBob You're Fired when Patrick Star eats some of Sandy's unknown toxic waste and a miniature version of himself grows on his forehead. When SpongeBob says that he is going to find a new job, as Forehead Patrick insults him calling him a loser that will never keep a job, so Patrick punches him for his words at his friend. It appears this attitude was forgotten, as it ate SpongeBob's cooked snail food at his house and didn't insult him.
In the episode "Patty Hype," SpongeBob asks Patrick why he is angry. Patrick replies that because he cannot see his forehead.