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Bora was born in Cologne and grew up in Mönchengladbach, raised by his single mother, a postal worker. He began rapping at age 14 and eventually dropped out of school in tenth grade. Afterwards, he found work in a shoe store.
The German Stampede Wrestling, a professional wrestling promotion based in Cologne, featured him. He had wrestling matches in promotional events including Night in Motion X, Southern Conflict II, X-Limits, Battlefield 2008 and Northern Night since 2007.
A feud started in 2004 with his song "Die Abrechnung", where he criticised his former mentors Kool Savas, Optik Records, Bushido and Aggro Berlin. The song was controversial among the German rap scene and after its release, Eko Fresh engaged in conflicts with other rappers. Many rappers replied to "Die Abrechnung", including Illmatic with "4Eko" and Fler with "Hollywoodtürke". Rappers from Optik Records also reacted: Caput with "Ich geb n fuck" and Ercandize with "Verdanken".