I've seen some pretty ridiculous ones, but I don't really care about usernames, tbh. Whatever people choose to be known by, let them be known by it. :p
I [i]do[/i] recall one time seeing a screen cap on the Halo: Reach file share where they were playing a match of Infection, and two users were called "THE_WORLD" and "AIDS." As you can imagine, what came up on the kill feed...
"AIDS infected THE_WORLD"
Priceless.
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ha ha ha