A phrase made famous by the drunken L.B. of Juniata College. The term is used as a way of expressing emotion when no other words can possibly be uttered due to the high amount of intoxication.
"Hey what did you think about that girl that just walked by?"
"Same, Same Same."
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Exactly, it's right, the same one, no different at all.
We can have a spicy Thai dinner at a Thai restaurant or at a Thai street-sided food cart. Its taste could have been a same same, but same!