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Mutton chops are a style of sideburns and beard that were popular during the 19th century. In Scrubs, Janitor grew large impressive mutton chops after he finds out he is related to American Civil War general Ambrose Burnside, whom he incorrectly refers to as "Burnsides". The trend caught on and many Sacred Heart employees grew theirs out, but at Keith's party, he reveals that they are fake, and he used them as a lesson for people to not jump on bandwagons. ("My Therapeutic Month")