Poo Poo Pee Pee is the name given to a series of images and comics that feature Smug Pepe committing various unethical acts, typically involving urine or feces. The comics were created as a reaction towards the usage of Pepe’s likeness, featuring an image of an obese Smug Pepe with the message “Poo poo. Pee pee. Now mommy has to change me”.

Reference: https://amp.knowyourmeme.com/memes/pepe-the-frog
Reference: https://official-pepe.fandom.com/wiki/Pepe_The_Frog