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It is obvious that Q is someone with insider information. When he's not being needlessly cryptic, he has made specific references about what the president is going to say before he has actually said it. No one could have done this without being very close to the president. That being said, it is also obvious that Q is (at best) a LARP, or (at worst) a disinfo campaign. He weaves together cryptic bullshit with insider info to make the entire story seem plausible when the insider tidbits are later reveled to be true, then his followers retroactively legitimize him by selectively interpreting his ramblings to refer to real events.
An example: if I were Trump's bodyguard, I could say "The US will nuke China one week from now, and Trump will wear a funny tie tomorrow". The next day, Trump wears the green and purple polka dot tie that I picked out for him to a speech, and then everyone on the internet starts digging bunkers because it is PROVEN that we will go to war with China within days. Except, I will be easily proven wrong when US does not nuke China. That's why I throw some MYSTERY into my statements.
Better example. "2 dragons will soon meet. TERROR will result, but PATRIOTS on the move as well. Also, Trump will wear a funny tie tomorrow". The next day, when the president wears my weird tie, internet autists scramble to decipher the meaning of the rest of the statement. Later, there is a news article about a meth lab exploding in a flat above a Chinese restaurant when a police raid occurred. Autists decide that this is what I meant and it was actually a terrorist secret plot to destroy evidence in that building or something retarded. If nothing cool happens within a month, they collectively decide that I was talking about something else.