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a fatty patty mcnasty is most often referred to as the nastiest looking and most oddly shaped women clearly over 400 pounds who usually has [obsessive compulsive disorder] in more than one case and continuously starts a conversations with,"hiya [would you like to] [take a dump] on my chest while i finish eating my bean burrito." And 67% of the time her name is Patty... everytime!!!! See the following for usage below.
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