I'm a nursing student and I work part time in an aged care facility (nursing home) primarily with demtnia patients. To me there's nothing forbidden or gross about blood, urine, vomit or faeces, I clean them all up or test them on a daily basis. I don't find them a turn on but I have a few fetishes of my own that I know not everyone shares and this makes it easier for me to accept that some people do / will be aroused by these actions. Maybe it also plays into humiliation fantasies whether they be to be humiliated or be humiliated, not sure on that one.
Getting back to the OP though I have to agree with Anxst
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I think some of the reason sites tend to push the weirder stuff these days is also for sheer business sense. People with kinks, no matter what they are, are willing to spend money when they find something that's different and really really turns them on. It's a "Anyone can download free porn, but THIS site knows what I want!" kind of thing...and those people spend money. Sometimes a lot of it. Sometimes for years.
I have to admit that I'd pay money if I found a website that ran specifically to my weirdnesses. They probably exist, I just haven't found them yet
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People always pay more for something that is rare or even that they just believe is rare, think how much some people will spend on antiques or leather clothing or any type of item that particularly interests them, especially if that item is not perceived as 'normal'. The porn sites have realised this and are putting it out there as a "well look see we cater to your desires come on in" it's a form of advertising.