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it essentialy means that the subject you are talking about is as perfect as a nice set of tits.
Dude this game is so titsperfect I dont..
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An Irish version of the Dirty Sanchez where after doing a chick on the rag, you wipe your member over her upper lip giving her a red mus..
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Just as mammary glands are female boobs, mannary glary are the male equivalent.
Dude, it's about time you lost your mannary gland..