The phrase comes from gaming culture around vitality, the stat that controls health and survivability in many role playing games, and 23 vitality max frames that number as a brag rather than a serious build. The clip has no confirmed original source and spread mainly as a short soundboard and meme audio, shared for its abrupt shout and oddly specific number. Its humour depends on that specificity, which is why creators reuse it for level up jokes, tank builds and moments where a character should have died but did not.