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Definitions by Hairyswan

Same head 

same head is slang for a person with Down syndrome, on account of all their heads appearing to be the same.
“Oh, here we go again Robbie, look at the state of these same head cunts.”

Or~

“Why, I say Robbie don’t those two spastics appear to have the same head.

“Yes Ollie, they are same heads.”
Same head by Hairyswan August 3, 2018