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A stoner game. Played when a group of people pack one single bowl in a small pipe, and pass it around a circle. The person who cashes the bowl, inhaling the notoriously foul tasting "butt-hole hit" is then ridiculed and removed from the circle. A mix between duck-duck-goose, Russian-Roulette, and smoking. The game ends when the pipe is down to two people, at which point they pretty much win because they've smoked all the weed.
Dude, Nick always seems to win in Butthole-Roulette. He's such a chill bro!
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A game played when one tempts the gods of fate by passing gas under the duress of an upset stomach. The winners are rewarded with pain relief and a chance to fart again, while the losers need to deal with their now-soiled underwear.
My stomach hurt so bad after eating Taco Bell I played butthole roulette and ended up sharting myself.