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An imaginary pill you can take before doing something ballsy or courageous
Mentioned once in bear grylls
But if your friend it being a pussy tell em to man up and take a courage pill.
Bear grylls - (before jumping off cliff into Unknown depth water) "it's time I think to take a courage pill"
When a person is under the influence of pills and says things they normally wouldn't say.
"She must have pill courage thats why she says rude rants that make no sense."