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Slang for "sex", though it can have different meanings all depending on context.
For example, it can simply mean "penis".
"Man, that guy tried to cut off my otch!"
Or any sort of genitalia or act depending on context and word combinations.
"Man, that was the best otch ever last night...Heheheheh..."
"Good otch. ;)"
Otch by TFE September 1, 2006
Related Words
Noun,adj:

Otherwise known as "otchling", is something you shout into the microphone over Xbox live or any other gaming communication system to confuse the hell out of the other players.

A word used to describe someone extremely stupid.
Dan: "Ugh, i left my keys in my car again"

Sam: "Way to go otch, now were screwed."

Player: "Stupid otch just took the banshee"
Otch by iG SPYD3R September 25, 2010
A famous word created by Nerrr5 back in the old Youtube days. It meant to be cool on school when you said Otch, and got all of the girls in school. When you said Otch, you knew it you were cool, thanks to Nerrr5.
Bro, I am feeling so otch right now
Otch by nerrr5 July 8, 2023

Bitch-otch 

This is a combination of the words 'bitch' and it's derivative, 'beotch'.

In order to experience the full effect of its usage, the user should deliver it as if he or she is a chicken. Careful timing between its two syllables makes its application broad and effective.

This word is exceptional when pwning n00bs and is particularly effective when applied simultaneously with a tea bagging motion.
Like a chicken: Bitch-otch! Bitch-otch!

I just owned that bitch-otch.

Ooooohhhhhh! Bitch-otch! (tea bag)
Bitch-otch by camnipotent May 16, 2009
Synonymous to the word bitch. In close relation to the popular spelling beotch, more specifically implying the said bre-otch is overweight, ugly, and mildly psychotic. Stems from the Celtic name for a female, Bre-anne.
"Hey Natasha, stop being such a bre-otch!"`
"Amanda, I can`t help it! I'm on my rag!"
bre-otch by penthaus January 15, 2009

Good Otch 

Another way to say "Sexy" or "I'd hit that". The slang "otch" literally means "Sex". However "Good Otch" doesn't literally mean "Good Sex", it's just a compliment or exclamation of a female's sexyness or beauty.
"Shit, did you seen Jessica Simpson's new music video?"
"Daaaamn! Good otch!"
Good Otch by TFE September 1, 2006