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Someone who needs to wash their rectum
"you are a cotton-headed ninny muggins"
A term used for a lazy person who procrastinates everything
"I'm a cotton-headed ninny-muggins papa elf"
A complete moron that can't do anything or hardly anything right.
Bud is one of the dumbest persons to have ever existed, he is a prime example of a cotton-headed ninny muggins.