In an obviously misguided attempt at mocking the playoff structure of the NCAA tournament, we’re inviting readers to enjoy matchups of actual fetishes in a voter-powered tournament, culminating in April with the Nasty Fetish Final Four. That tournament continues today with Round One action. Remember, you’re voting for what you consider the more nasty fetish.

5. Belonephilia

Literal Meaning: “Sexual arousal from the use of pins and needles.”

The Intarwebs say: Dr. Perlman can’t help you here.

Notable Advocates: Wale, Kanye West, Gilbert Arenas

13. Incest

Literal Meaning: “Any sexual activity between closely related persons and (often within the immediate family) that is illegal or socially taboo. Prevalence is difficult to generalize, but research has estimated 10-15% of the general population as having at least one incest experience, with less than 2% involving intercourse or attempted intercourse.”

Dan Savage reader says: “How do you get rid of a sexual fetish? I’ve got an incest fetish and while I don’t plan on acting on it, Dan, it’s still very annoying. Second, I was raped by a sibling as a child. Repeatedly. And while at first I was upset by this, I eventually began to enjoy the sex. So I hate myself. Is this common? I’m seeing a therapist, but due to my guilt and shame I’m unable to ask her these questions.”

Notable Advocates: Aaron Rodgers, Reginald VelJohnson, Mel Martinez