The title clearly points to Sans, the skeleton character from Undertale, mixed with the gaming idea of a default character or skin. The exact original edit behind this upload is unclear, but sounds like this spread through meme pages, short edits and soundboards because the contrast is easy to understand instantly. It fits the same ironic gaming humor as the default dance, where familiar characters are dropped into generic or embarrassing situations. That quick contrast is why the joke keeps getting reused.