I knew I'd seen this somewhere before

Some have masturbated to a fake sound. Not the first time.

She sounds like a trans

Sounds almost like Steve-o

Ah yes, the basic bitch forced speech pattern

Wtf. Is that miley cyrus?

"Cyrus said she was diagnosed with Reinke's edema and is grateful for the vocal surgery she received and what it taught her. University of Pittsburgh's Otolaryngology Department describes Reinke's edema as a swelling in the space below the vocal chords, which is often caused by "longstanding smoking."

Is she a he? Vocal cord disorder? Or is she a smoker?

The term is called vocal fry, basic US bitch voice.