Like a true addict, Ralph's shortcomings are someone else's fault. It's not his inability to cope with adverse situations and feelings, oh no, it's Meigh's fault he "relapsed" (I doubt he was ever sober for longer than a week at a time).
Ralph was never sober, he just cut back and took care to not get sloppy before streaming. Obviously it's May's fault he's on this month's bender because she didn't return to Mexico to mop up his piss. Ralph's current narrative will be he is basically forced to drink and take Xanax because evil women stole his beloved children and he just can't live without them. (If you listen closely, over top of Rozy's crying, you can hear the fatherly love in Ralph's voice as he demands May clean up his piss and threatens to strangle her.)
Ralph is apex victimhood. He puts woke troons to shame in the blame game and victim olympics.
Ralph's psychological inability to admit or see any fault for anything he does is what makes him such an absurdly funny lolcow. Even if he will admit he did something wrong to someone, it is immediately followed by rationalizing and insulting the other person, just so it's clear they totally deserved it anyway.
It's not an act or an online facade, it's 100% authentic. All his terrible and stupid behavior is always the fault of others. This is why his life is such a hilarious shit show to watch and why he is incapable of maintaining any type of relationship (romantic, friendship, business or family) with other humans. Hell, even Ralph doesn't want a relationship with Ralph, which is why he has to take 20 mg of Xanax and drink a 12 pack just to tolerate his own company.
Sandra was the only human on earth that was capable of a longterm relationship with Gunt. Sandra was a broken woman who had to waste her unconditional maternal love on a selfish, nasty, angry son who took her for granted and treated her like garbage.
He'd be a new man if he put even a 1/10 of the mental energy he uses for excuses, rationalizations and blame, towards accepting responsibility and changing his behavior, but then he wouldn't be Ethan Ralph.
The only thing Ralph has earned honestly in his life is his pathetic, isolated, lonely, angry alcoholic existence in the third world.