When my cat was a kitten he was underweight and had frequent diarrhea from poor nutrition.
When we get him neutered he had the cone, but he had diarrhea and got it on the cone. That caused him to roll around and rub against a bunch of surfaces. The he threw litter everywhere trying to cover it up.
When I got back the the grocery store the room he was in was a total wreck, with litter and smears of poop everywhere. I was only gone like an hour.
Thankfully we confined him to a storage room.