A sexual act when the male is having vaginal intercourse while a woman is on her menstrual cycle and pulls out as he is ejaculating, he makes an extremely swift left to right movement(or right to left) across the female's mouth, creating a line of blood mix with semen from cheek to cheek. Similar to the joker's wounds.
As Jon was having sex with Jane, he pulled is huge cock out and gave Jane a joker.
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