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When a girl puts hot sauce in her mouth and proceeds to fellate.
"I bet Hooters chicks give really great spicy elmos."
"She gave me a spicy elmo so I gave her my blue cheese."
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When a man has anal sex with a woman while she is using a vibrator or dildo in her vagina. It's considered a Spicy Elmo Deluxe if while doing this she performs oral sex on a third party. Preferably another woman.
"That chick is totally hot and what makes her even hotter is that she gets off on the Spicy Elmo!"
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