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1.
When smoking cannabis in a circle, a person may become so overwhelmed (by a coughing fit, or even from the effects of the plant itself) that they are unable or unwilling to take a hit when the bowl or bong is passed to them.

In this case, the afflicted person may have someone "pinch hit" for them on this round.
"*cough* *cough* *hack* Hey man, you wanna *cough* *wheeze* take a pinch hit *cough* for me?"
by Das Midnight-Toker December 30, 2008
12 8
 
2.
When you take a blunt or joint, light the mouthpiece end of it, and put it in the hole of a bluntinator. You then blow into the bluntinator and someone else breathes in the smoke that is coming out of the blunt or joint sticking out of the bluntinator. Similar to shotgun
You should pinch hit that blunt.
by Jesse Vieira December 22, 2010
2 3
 
3.
When one is too intoxicated to have sex, or has already passed out and a female is left alone a pinch hitter is called to get the job done
Dude, he's out cold anyone going to step up to the plate and pinch hit?
by marc busch April 30, 2008
5 13