A 2koma Meme where the first panel has two buttons, each with a corresponding label or statement. The second panel has someone wiping sweat from the brow with a handkerchief. The implication is that the person is stressed because they are compelled to choose one alternative, but are unable to decide which.
The statements often entail an ironic false dichotomy: they are meant to be taken as if the two alternatives are mutually exclusive, even if that isn't necessarily the case.