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A sex act in which two individuals first engage in anal sex until the receiver's anus begins to bleed (This may be facilitated by witholding the use of lubricant or by performing intercourse on a person whose anus is unaccustomed to fornication). Upon sight of blood, the receiver is placed in a "bottoms-up" or "piledriver" position (if not there already) and the other partner proceeds to defecate into his/her butt crack- thus placing the brown "meatballs" into the red "sauce" between the two "buns." Semen "cheese" may then be added to the sandwich by the "chef" if he chooses to self-stimulate himself to climax.
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