A small town in Missouri which is considered by many to quite possibly contain the portal to hell, or at least purgatory. Local activities include going to the bar and drinking, visiting the town gas station and drinking, attending church and drinking, and basketball.

Town Population: 199
Racial Diversity: There isn't.
Advice: Do NOT purchase non canned goods from the local grocery store. It's better off not to know why.
Local Style: Dirty, filthy, beat up pick up trucks; Levi Jeans with worn ring shape in back pocket, presumably from a can of Skoal; Some sort of sign symbolizing your love for the Confederate Flag. Act as if you're above those who do not follow this strict dress code.
"Can you get any cell service?"
"We're in fucking Middletown, MO. What do you think?"

"Where do you come from?"
"Middletown, MO"
"Oh I'm sorry..."
by Johnathan Thunder April 7, 2010
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