The thing to google is "therapeutic ketogenic diet". It's the super extreme form of keto, used in medical settings to treat things like epilepsy, rather than in casual settings in attempts to lose weight. It's been a while since I did reading on the topic, but IIRC, there is good evidence it's helpfully effective against some forms of cancer (but harmful against others, so research before diving in).
But yes. To answer your question, you do eat a lot of food that is 100% fat or darn close. You will see menus like "2 eggs and 2 tablespoons of butter". The vegetarian version will involve a lot of avocados and coconut oil. You don't have to eat it straight, and most meals involve combining a massive amount of fat with a small amount of protein or fiber or something.