Ralph Dibny, the Elongated Man, realized that every contortionist drank a beverage called Gingold. When he tried a pure extract of the Gingo fruit, he gained stretching powers. It has since been revealed that pure Gingold is poisonous to normal humans but unlocks a dormant metagene in Dibny, which is why it does not have the same effect on everyone.

This mixture along with Dr. No Face's technology helped to create The Question's special mask.