There's one rather gross question everyone asks about competitive eating -- what happens if someone vomits? IFOCE rules are very clear, though they are very delicate about the terms that they use to describe someone throwing up. Anyone who suffers "a Roman incident" is disqualified if the result of that incident touches the plate or table. Once time has expired, competitors can rid themselves of the massive amount of food they've just eaten however they like.
Instant replay is not used in IFOCE contests -- the ruling of the judges at the time is considered final. This can sometimes lead to controversy. In 2002, record holder Takeru Kobayashi reportedly vomited some hot dog at the Nathan's Famous Fourth of July International Hot Dog-Eating Contest, but held most of it back with his hands until time ran out.
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