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You can use it just as a gag, during a gig (this is how I use it), just secretly load it, randomly stick your tongue out until someone notices, then just stretch it out ...people will fall over laughing.
You can also use it for the more serious performance of skewering your tongue with a sharp spike. If you're using something thin, you can skewer it hundreds of times. But if you're using a thick spike, you'll get less 'skewer's' out of it.bv