Hank Hill Listens to X takes a short clip from King of the Hill in which Hank sits on a couch wearing headphones, his face slowly twisting into a look of pained confusion. Video makers dub the original audio out and replace it with a song of their choosing, so it looks like Hank is hearing dubstep, black metal, vaporwave, or whatever else the uploader finds funny to torment him with1.

The joke works because Hank is written as a straight-laced Texan who likes country and classic rock, so pairing him with abrasive or absurd genres reads as a small culture-shock sketch. The format sits in the same family as the Binky Listens To edits, using a cartoon character's confused face as a stand-in for the viewer hearing something for the first time3.

To make one, creators typically grab the pilot-episode headphones shot, mute Hank's original audio, and drop in a song from a genre they think would horrify him. The common convention is to pick something abrasive or wildly off-brand for a suburban Texan, like harsh noise, hyperpop, or extreme metal, and to let Hank's slow-building grimace hit right as the track's loudest moment lands.