Top definition
Acronym for Pumpkin Ass Moose Knuckle. Occurs when a ginger headed girl gets a tattoo of a pumpkin on their ass, and accidentally moose knuckles while trying to show off said ass cheek without pulling down shorts.
"OMG, did you see ALMK pull a PAMK just now?"
by StoneCypher February 25, 2009
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