mostly applicable at work: any or all of the possible symptoms that follow;
huge mirco manager,
passes on duties to others keeping his tasklist clear,
disgusting mullet,
refuses to take advice from others,
"his way or the high-way",
cheap and quick benefits make everything ok,
farms out projects daily
"E.B.R. is such a supreme douchebag"
"All he does is give other people his projects and then takes his 4 weeks of vacation time!"
One who pounds on keyboards with hammer fingers in a douchey way and drives a new mustang very slowly. These specific douches enter the supreme douche pizza arena once they combine the natural douchieness of a douche with added antics, like gloating about finances, warming one's hands as if in genuflection, or smiling at awkward moments. *Note: These supreme douche pizzas typically have prominent dimpled cheeks when they grin.
Pete: "I'm unsure about mike, he seems a little cocky."
Charles: "Yes, I hear you, I think he may be a supreme douche pizza."
It is said of the situation where a person has the bad luck to make contact with his testicles against an undefined surface or object, intentioned or not.
Given the nature of the word, it is more appropriate to design cases where the interaction is made with a moving object, for example, a ball.
Although it is extremely painful for the victim, it tends to be considerably funny to people who witness it.
Today in the baseball game the pitcher took a nutshot; the baseball hit him in the nuts.
Man, I just watched the funniest nutshot video ever.