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To back out of something at the last minute.
It's too bad about Marcellus. You never totten out of a tetanus shot.
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A Hot Totten is a rural, male gender equivalent of a "hot mess" (though hot mess began gender neutral; in Sydney and New Zealand it has adopted a female association). The etymology of "totten" is still unknown but is likely a surname substituted due to its rhyming nature.
In definition a Hot Mess is remaining attractive despite being disorganized or disheveled. Often a Hot Totten is used to describe a person that is successful without have any real or documented skill.
"Jim just bought a new camaro," remarked Steve.
"He's a hot totten ain't he? His Da is the one who got him that job," Bill replied.
Getting so wasted on a night out that you wake the whole block up when your disastrous cooking attempts set the smoke alarms off
Student 1: how was your night?
Student 2: man it was bad, I got tottened!