The "Hard to Swallow Pills" meme is a two-panel image derived from a WikiHow illustration titled "How to Deal With the Fact That Your Loved One Is a Liar," gaining popularity around 2018. The meme features a hand holding a pill bottle labeled "Hard to swallow pills" in the top panel, and individual pills in a hand in the bottom. It's used to express unpopular opinions, uncomfortable truths, or harsh realities that people find difficult to accept or acknowledge. Users typically overlay text on the bottle or pills to represent these unpalatable facts, often deployed for comedic effect or to deliver a pointed, often cynical, statement. It became a versatile template on social media for highlighting inconvenient truths.