Yo why did they remove Dr Mario version of "take your meds" over a soulless and inexpressive one? Boring.
The clues are all in front of you.
This innocuous post in which I unconditionally praise Dr. Mario seems at first glance to be unremarkable, but look closer. DarkUnderlord himself reacted with a "Makes you think". Combine this with the obvious fact of my own growing Codexian influence (see: fully 6 "Yes!" reactions flocking to my banner) and it all falls into place. DU felt that control is slipping away from him; that despite his virtuous and correct selection of the universally loved Dr. Mario icon, it would become a symbol not of his own good judgement, but of
my excellent taste and superior insight. The situation indeed "Made him think" and he realized that in the face of such a public disaster, his only move was a show of strength. He knew that Dr. Mario and myself were now inextricably allied, and that substituting the dull and unfunny "What is that? A battery? x1" button in Dr. Mario's place would recement his legacy for another generation. The suffering of the citizens of the Codex meant nothing. He must maintain control at any cost. My agenda would have come to fruition if I had only the wisdom to remain silent; the failure was mine in underestimating DU's political acumen. Once again he was right. It was the only choice.