Can these people get any more insane?
XX and XY.
Female and Male.
Everything else is varying degrees and flavors of mental illness.
(Or, possibly, a birth defect.)
You ask: Can they get any more insane?
It’s like all the comedy and satire of the past has been brought to mind and these people have said “Hold my beer!”
Yes, they can get more insane. It’s a bottomless pit and not just a cesspool.