I’m not a neurologist.
But I would think it’s pretty closely related to our ability to read each others faces and recognize them and tell people apart from the slightest differences and pick up on their emotions from their face.
We have some sort of “facial recognition accelerator” in our brains and I feel like paradolia is a side effect of it taking empty input and trying to pattern match.
I know we have some secret sauce because some people are face blind. We can tell celebrities apart in caricatures.
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