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1. A game in which [everyone] in a circle passes a spliff, bong or other smokeage. Everyone puts five on it. Each time you [take a hit] you say "puff puff pass." If you fail to say it, cough or pass out, [you're out] of the rotation. The last person holding the smokeage keeps all the money. 2. A reminder that someone is holding and should pass.
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