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Definitions by EC-JM

All out with your balls out 

1. To party hard. Used to describe a situation that requires the utmost celebration.

2. To be very drunk.
1. Pauly: Tomorrow's the last day of summer break, we're going to have to go all out.

Jimbo: You'll have to go all out with your balls out.

2. Pauly: Ben was so drunk last night.

Jimbo: He went all out with his balls out, that's forsure.