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The two Duke babes that are at the beginning of the game are named Mary and Kate Holsom. This is a reference to Mary-Kate Olsen.
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When you try to solve the puzzle with the valves, Duke says "I hate valve puzzles" referring to the famous game company "Valve".
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When in front of a wooden barricade Duke says "A crowbar would come handy right now." This is a reference to Gordon's famous weapon from Half Life.
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In chapter Duke's Titty City in the bathrooms, written on the wall is "They Live, We Sleep." This is a reference to They Live.
And right below this writing you can see Mr. Chad on the wall behind the toilet referring to the American popular culture expression that became popular during World War II "Kilroy was here".
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When Duke comes across a door that needed a red keycard to unlock, Duke responds with "Keycard? I don't need a fucking keycard." and opens the door with bare hands. This line makes fun of the previous Duke Nukem games where the player needed keycards to open most of the doors.
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At the level Forkstop, there is a barrel with a heart on it. You have to move it to the spot with a heart on the floor to get a trophy. When you put the barrel in the right place, you will see "Have some cake!" It's a reference to the game series Portal.
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When Duke admires himself in the mirror, he says many quotes. Some of them are:
"I'm bringing sexy back." refers to Justin's Timberlake song Sexy Back.
"Here's looking at you, kid." is a quote from the 1942 movie Casablanca.
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In the beginning of Duke Nukem's Titty City, one of the strippers asks you to get her a few things. One of the things she says to get Duke to help her is that there will be cake. Spoiler:Since the entire level is set in a dream and you do not see the cake any where in the level, the cake she is talking about is most likely not real. This is probably a reference to Portal's "The cake is a lie" meme.
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Spoiler:During the game's ending, after the nuke explodes, the EDF logo is shown with a spinning globe. It zooms in and shows Duke was killed in the explosion. Duke then says "What kind of shit ending is that? I ain't dead, I'm coming back for more!" This is a reference to Call of Duty 4: Modern Warfare.
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The talk show host of "Damn, It's Late", Johnny O'Lenoman, got his name by combining four popular talk show hosts names together. These being Johnny Carson, Conan O' Brien, Jay Leno and David Letterman.
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Attachment Gamer Slash000 pre-ordered Duke Nukem Forever in 2001, and GameStop honored the pre-order when the game was released in 2011. Not only did he get his long awaited game, but Gearbox sent him a care package full of Duke Nukem Forever merchandise.
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In the French release of the game, the achievement "Fork the Pork" is called "T'as le Bonjour de Ryo" (Ryo says hello). In order to achieve this, the player must kill 6 pigcops with a forklift.

This achievement is a reference to the game "Shenmue", which sees the player take on the role of Ryo. The game featured a popular minigame that has the player driving a forklift.
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Attachment The Japanese version of the game removed the cigar from Duke Nukem's mouth on the box art.
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