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It's not how they hear it, but rather how they process the information they are hearing. Alcoholics/people under the influence can have problems fully comprehending what they are hearing and seeing. Alcohol thins the blood which would normally supply the brain with much needed oxygen. The more alcohol in your system, the less oxygen gets delivered to your brain. Someone who is just under the influence could have trouble understanding what is being said to them. Chronic drinkers/drunks/alcoholics can cause long term or permanent brain damage which will cause them to lose mental/brain capacity even if they are sober. So, yes, someone who is drunk or an alcoholic may believe that the sober person speaking with them is under the influence. I have experienced this many times with an alcoholic relative. While I was stone sober, shew would insist that I was drunk because she couldn't comprehend what I was saying to her.

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Q: Can alcohol affect the way you hear others so that to a drunk person sober people could sound drunk or even high?
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