This streamer is tied using the technique found on Hatches magazine but instead of cross cut rabbit, I’ve used synthetic  fur, bought in local sewing craft store. For this fly you will need: cheap front hook, carp trailer hook, synthetic fur, some lead and eyes (dumbbell, bead chain), backing, monofilament or braided line for trailer hook and thread of course.

Here is a quote from Hatches magazine:

The Strung Out movement was created by Pacific Northwest guide Derek Fergus. Articulated flies are nothing new, but this method of tying permits an angler to create very large flies with articulated action yet eliminating a solid, long hook shank. Tube flies can give you large flies and small hooks but they loose the articulation some folks find very appealing, especially on flies intended to be swung and not retrieved. Articulated flies use the long solid hook shank of a front hook to build the fly, but that shank can be used by the fish as leverage to work the fly loose or break the leader. Fergus’ Strung Out philosophy of tying involves tying the fly on section of “string”.
The MOAL (”Mother Of All Leeches”) is a successful version of the Strung Out Leech.

Here is my synthetic version of MOAL leech in reversed red head version:

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