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Borderline or straight retard. Commonly used with mechanics.
Jeremy: hey, fucknuts, give me a beer.
Said fucknuts: kill yourself retard
The worst fucking place in Pennsylvania. I guarantee you've never met anyone from here because they've already killed themselves after being exposed to the utter bullshit of this place.
Person 1: hey, you know General McLane?
Person 2: yeah, I hate it