I feel as though if you know someone is into something like Lego or something similar, getting them something completely offbrand from somewhere online, not opening the box it was shipped in, and then explaining the post said it was official and that you can’t return it because you ordered it a couple months back could work.

That, or if you are in scouts, you could try and pull what our troop did once for a white elephant gift exchange during one winter court of honor and get rid of an old tent. Our troop got new ones not that long before the event and an old tent was then added as a white elephant gift, probably from our scoutmaster at the time. I ended up trading with one of my friends for that tent rather than the dumb looking card game I had been saddled with. Either way, getting rid of an old tent this way feels a bit insulting to whoever gets it, to me at least.

Find out something that they were passionate about in life, but left by the wayside because they were ultimately a failure in it. Then get them something related to that. But make sure the gift is flawed in some way to be totally unuseable.

If they’re in the hospital, a potted plant.

Something utterly meaningless, like a bag of generic candy, from the closest corner store “wrapped” only in that store’s type of plastic bags, clearly purchased last-minute on your way over to them. As they unwrap it you slip an “oh, I forgot to take that” and snatch up the receipt that you’ve forgotten in the bag, but only after they’ve seen that the item was on sale for $0.99.

A gym membership. Implies overweight.

Makeover service. Implies not looking so good.

If you know a right-wing prepper, get them a subscription to Mother Earth News, a magazine that touts self-sufficiency and off-grid living with occasional ads that lean to conspiracy theories like “free energy”. It’s full of food saving and growing ideas. It’s also liberal AF.

Charitable donation in their name to an organization they likely oppose, but not “in your face”. Like if they’re republican, don’t donate to a blatantly liberal org, donate to one that teaches kids critical thinking skills and welcomes lgbtq or something like that. They get the tax writeoff, a real benefit, but would have to be visibly hateful of they rejected where the money went. Edit: how about a LGBTQ shooting camp. That’d take some mental gymnastics.

Gift tickets to a nice cultural event to someone that is anti-lgbtq. Local city playhouse has an Opera with lots of men in tights.

Any subscription or service that makes potential commentary on personal appearance or personal beliefs would be effective.