RN
Strip the pandemic framing out of the 2020 version of this page and what is left is an ordinary list of bedroom suggestions. Some of them are fine. One of them is presented with a safety story that the medical evidence does not support, and it is the one people are most likely to try.
So this is the same list, with the parts that matter restored.
Strike one item entirely
The original recommended pressure on the neck, described it as simple, offered a technique note about not pressing too hard, and framed the resulting sensation as a mild high. Every part of that framing is wrong in a way that matters.
Clinical bodies working on this have converged on a blunt position: there is no safe way to apply pressure to the neck outside a controlled medical setting. The margin between the pressure that produces the sensation and the pressure that causes injury is small, it is not reliably perceptible to either person, and it varies between people and between occasions. The "mild high" the older article described is reduced blood flow or oxygen to the brain — that is the mechanism, not a side effect of it.
Two findings make this harder to hedge. Around half of people who have been strangled show no external injury at all, and serious complications can appear hours or days later, so nothing going visibly wrong is not evidence that nothing went wrong. And imaging research has associated frequent recent sexual strangulation with altered brain activation on working-memory tasks — early work, in a young field, but pointing in a direction consistent with the rest of the literature. Increased stroke risk in younger women with a strangulation history has also been reported.
That is why this page describes no technique for it. Not because the subject is impolite, but because the honest summary is that risk here cannot be managed down to a level that a bedroom safety tip can responsibly imply. If someone has been strangled and then develops a headache, voice change, difficulty swallowing, dizziness or confusion, that is an emergency-department visit rather than a wait-and-see.
The adjacent items the original grouped with it — hair pulling, a slap — are not in the same category and do not carry the same argument.
Correct one item
Ginseng, maca and pistachios were presented as containing compounds that reliably produce arousal. The evidence does not reach that.
A systematic review of maca found the trials too few, too small and too methodologically limited to conclude much; some showed an effect on desire or function, at least one showed nothing. Ginseng reviews report positive signals rated low-certainty because of unclear risk of bias. A broader review of plant aphrodisiacs found very little human evidence at all, with most work done in animals.
This is not a debunking — "limited evidence" is genuinely different from "shown not to work," and some of these signals may firm up. It is a correction of confidence. If something in this category appeals to you, the honest expectation is a possible modest effect, not a mechanism. And supplements interact with medications, which is the actual reason to raise it with a pharmacist or doctor rather than an article.
Keep, with the missing details
Temperature. Ice is low-risk and mostly self-limiting. Wax is not automatically so: candle waxes melt at very different temperatures, and an ordinary household or scented candle can run considerably hotter than one sold for this purpose. Test on your own forearm first, drop from a height rather than close in, keep it off the face and away from anywhere hair could catch, and have the surrounding surface prepared. Someone with reduced sensation in an area — from a nerve condition, diabetes, or a medication — cannot rely on their own feedback to tell them it is too hot.
Food. Fine, with one caveat the original skipped: sugary substances internally are a reliable route to a yeast infection, and oils and fats degrade latex, so anything oil-based and any condom or latex toy are mutually exclusive. Keep the edible parts external.
Sexting. Still the best-value item on the list, and the only one that works at distance. The durable caution is that a sent image is a copy that exists on someone else's device and in someone else's backups, permanently and regardless of intent. Decide what you are comfortable existing in that state, not what you are comfortable with the recipient seeing today.
Toys and rougher play. The original's advice to negotiate in advance was right, and its instinct to sort into yes, no, and undecided lists was sound. What it omitted is that a safeword only works if it can be said — anything involving restraint of the mouth needs a non-verbal signal agreed beforehand, and anything involving restraint of the body needs the means to release it immediately within reach. Restriction of circulation and restriction of breathing are the two areas where enthusiasm outruns knowledge most often; the BDSM beginners guide covers the ground properly.
Orgasm control. Low-risk and largely a matter of communication. There is a dedicated guide if it is the main thing you came for.
The last section deserves a warning it did not get
The original closed by suggesting readers film themselves and upload it, presenting this as easy money and a stigma-breaking gesture.
The stigma point is fair. The financial one was oversold, and the practical one was absent. Uploaded material is effectively permanent: it is mirrored, re-uploaded and re-hosted within hours, and takedown becomes a task with no end state. Consent to publish is also not durable in the way people assume — a partner who agrees today may not agree in five years, and removing what is already distributed is largely outside anyone's control. Faces, tattoos, and identifiable rooms are all matching surfaces.
None of which is an argument against it. People do this deliberately and successfully, and the guide to camming treats it as the job it is. It is an argument against doing it on a boring evening because a listicle suggested it, which is how the original framed it.
The quarantine ended. The reason to be careful about the neck did not.