Referring to the fact that when you're out drinking with your friends, it is twice as hilarious to see someone puke in their hands (preferrably so everyone can see) as it is when said person makes it out of sight to puke (like behind a bush).
That was embarrassing the way you puked in your hands at the bar last night, but you know what they say, a puke in the hand is worth two in the bush.
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