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It’s easier than you think. Most often it’s when they fall and hit their head on the ground after being knocked out.
Some drunk dude wanted to fight me at a nightclub once so I went outside to smoke a cigarette and give him some space. He followed me outside and swung on me. I just dodged his drunk-ass hook, and he spun himself all the way around, lost his balance, and fell. When he fell his head hit a brick planter, and the sound it made was disturbing. I do not think he was okay. But I didn’t stick around to find out. I didn’t even touch him, so I just went back inside. I saw an ambulance out there some time later, and I’m assuming it was for Mr. Drunk boxer guy. He kicked his own ass.