It would be trickier, but it's not as hard as one might want to get a user to click in such a way that the protections in place against automated behaviors can be side-stepped.

I'd bet good money that this trick would be useful for anyone running either a meme generator website or a file host, for example. It'd be pretty solid in the file host in particular, because you could hide some of the obvious weird behavior behind the "We're downloading your file" delay.