The image is a reddit post with the following text (automatically transcribed):
I remember I got into an argument on reddit awhile ago with a person over Italian food. It got to the point they were following me into other subs to harass me. I clicked on their profile to block them and their most recent post was them drinking their own piss on r/piss. At that moment I realized I had spent so much pointless time arguing about the taste of food with someone who drinks their own piss as a hobby. This site is a shit hole.
Removed by mod
Then it’s only changed on their instance. They’d need to create fake users and send votes for them. At that point others should be able to detect it as botting, at least if the impact is big enough.