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My dad had bad acne into his 30s and my siblings were mostly spared except my sister when she was younger. My mom had crystal clear skin. I'm the only one with really severe acne and I'm almost 23.

There's not much to do hormonally as a male, you could try finasteride (propecia), a hairloss medication, but it never seemed to do that much for acne for the males I know. Spironolactone is notoriou...