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Even Slimier Little Piles are enemies that are fought in EarthBound in the Deep Darkness area. They resemble Slimy Little Piles except that these monsters are a shade of purple. They use regular attacks, exhale a stinky breath that may make the party cry, and spit an immobilizing sticky mucus at a party member. Occasionally, Even Slimier Little Piles may call for help, so they should be the first target in a battle. These can also be called by the Big Pile of Puke and other Even Slimier Little Piles.

Their battle theme is "Battle against Belch".