She created an unnamed alter-ego after she discovered Butters' "gay little costume".
Grandma Stotch wears dark green pants, a pink shirt, a green and white hooded jacket, and dark green earrings. She has short, white hair, and is visibly aged.
Although she pretended to be kind and loving in front of other people, she was very cruel to Butters and enjoyed hurting him. She liked to make him suffer and often injured him, stole his lunch money, threatened him, and gave him "gummy bears" (putting a part of his body in her toothless mouth). She can be seen as much as or even more of a bully as Butters' parents, who ground him often for no good reason and beat him on at least one occasion.
Grandma Stotch appears to "change" after Butters tells her that someday she will die and he will keep living, likely making her cruelty temporary.
- Child abuse: She frequently abuses and torments Butters throughout the episode, in ways such as stabbing his thigh under the table with a fork, beating him up, and giving him "gummy bears" (putting a part of his body in her toothless mouth).
- She may be from Virginia, as Butters mentioned that one of his grandmothers lived in Virginia in "Reverse Cowgirl".
- It is unknown if she is Butters' maternal or paternal grandmother, however, the former is more likely since she was talking to Butters' mother, Linda, about her cousin in the beginning of "Butterballs". However, Fractured But Whole implies she's really Stephen's mother, as he's pleading to her in a dream.
- She may have suffered a stroke in "Freak Strike" as during the episode Stephen tells Butters that one of his grandmothers had a stroke from seeing him on Maury Povich with balls on his chin.
- Her voice actress is unconfirmed, credited as 'Donna Dooby' but this is likely a pseudonym.
- "Butters' Very Own Episode" (mentioned only)
- "Freak Strike" (mentioned only) - She is mentioned to have a stroke due to her seeing him on Maury Povich with balls on his chin.
- "Margaritaville" (mentioned only)
- "Reverse Cowgirl" (mentioned only) - Butters mentions that she is from Virginia.
- "Butterballs" - First appearance. Seen bullying Butters.
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