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If you scream in pain while in a submission the ref stops the fight and the other guy wins by sub. Last time i saw it was when Warren refused to tap to the kneebar and screamed in pain when his knee popped. I assume the same goes in this situation.I think he didnt say "i give up", or "tap" he just screamed of pain. Referee just ended it to prevent further damage therefore its a TKO. lets say you eat a big overhand and fall on the mat and then tap out of the strikes then its a verbal submission