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The move is executed from a Argentine backbreaker rack (face up, with the neck and one leg cradled) position. The wrestler pushes the opponent forward while holding the opponent's leg with one arm, and the head with the other arm, and then sits down, driving the opponent head first down to the floor.
This move was popularized by Super Dragon under the name the Psycho Driver. He also occasionally used a cut-throat variation of this move.