A burger drowned in a fatty load of semen.
Typically oozing off the sides of the burger after being topped with the bun.
Sponge bob also makes the O.G. Nasty patty in Season 3 episode 44
After receiving some absolutely knarly road head, my girl asked me to nut on her burger aka: a nasty patty
Having sexual intercourse, sex, taking her to pound town.
Gang1: I met up with this nice tendaroni and she wanted me to cook her pattie because she was feeling the slime.
Gang2: My man!
A girl puts a beer in her vagina, sits on your face and opens it and you chug it.
“Oh man, Tricia gave me a patty stand last night! I got so fucked up.”
When you stomp a shit in between someone's teeth.
Did you hear what happened to Zade? They gave him a Jersey City Patty Press
The action of giving a rim job while intoxicated on heroin
“The Long Island patty I received yesterday from Jessica was insanely messy and she kept missing my anus because of all of the heroin she took”
Having a meltdown while eating a burger.
Following a particularly trying day of work, she met her girlfriend at the diner for a patty meltdown.
A butt that looks like it should be smacked repeatedly in a sexual manner.