Dr. Reflex appears in Baldi's Basics Plus, the expanded version of the indie horror parody Baldi's Basics in Education and Learning. In game he stops the player for a reflex test, raising his hammer and striking when the timing is missed, which is where this isolated hit comes from. Clips of his encounters were shared by players on YouTube and in meme edits, turning the short bonk into a reusable reaction for sudden punishment or failure. Its connection to a familiar school character keeps it recognisable beyond a generic impact effect.