When two or more people puke off a hotel balcony onto the balcony below after drinking heavily.
Bro 1 - "Bro, let's take some straight tequila shots without a chaser."
Bro 2 - "Fuck yea Bro!"
Shots down and they both start to puke off the side of the balcony onto the one below it resulting in the act of tandem puking