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A vile sexual act [in the same vein] as the [Cleveland Steamer] or the [Alabama Hot Pocket]. To properly perform a Puget Sound Sausage, the male must excrete a good deal of liquid diarrhea into the toilet while his partner is unaware. Once the water is good and brown, the male dips his phallus into the diarrhea/toilet water mixture, then runs outside and sticks his member into his partner's mouth before he/she realizes the penis is covered in diarrhea.
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