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The American Flag is just another one of the perverse terms for a crude sexual act in the same family as the "dirty sanchez". Ther American Flag starts off with a male recieving oral sex from a female. When the male is on the brink of his climax, he must first punch the woman in the eye (creating a blue like coloring), punch her in the nose (creating red from the blood), and finally shooting his semen onto the other eye, thus creating Red, White, and Blue.
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