Learn what "why do you do this to yourself man" means, when people say it, and how to use it naturally in English.

It means the speaker is asking why the other person keeps making harmful choices.
From Runaway Bride, Episode 5
Someone is questioning why another person keeps hurting themselves or making bad choices.
Use this when challenging a friend or loved one about self-destructive behavior. It can sound judgmental or confrontational, so it is not polite in formal settings.
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