The group was first formed in "The Fat Guy Strangler", after he finally realized how fat he truly was. The group even has its own anthem, first performed at a member's funeral. Seating at meetings was limited, and snacks were always brought. Sometimes, they met inside the founder's home. Some of its members were murdered by Patrick Pewterschmidt, who became known as the Fat Guy Strangler. One of the NAAFP members survived an attack, and eats so much that he requests to eat a member that did not survive. The founder's infant son, Stewie, spotted him trying to do so.