I'm still slowly working my through this but I have to agree. The gist seems to be that Ralph's worst fears have been realised:
He's become the new Mundane Matt.
Felting doesn't even begin to describe what Ralph has just gone through. His ego was popped like a balloon. He can't call himself the Ralphamale anymore (not that anyone seriously bought into that persona besides himself) even he can't lie to himself that hard. Much like how Matt became the Quarry King, he's the Ragepig now, the Hollerin' Hog.
This is exactly what happened to Matt btw. He experienced a humiliation so thorough and absolute that he will
never live it down. This stream is going to haunt him to his dying day, which at this rate will be by 2028.
We might even need a new word to describe what just happened to Ralph: Bouldered? Harvested? Final Felted?
I also agree with Null, Ralph's next 'all-in' is going to be huge. He's never been more desperate than he is right now. Fuck it I'm gonna call it:
Whatever Ralph does next is going to either land him back in hospital, or back in jail. Shower me in

, I am absolutely, 100% sure this is what will happen.