A Leper Supreme is the act of having sex with a leper (one who has leprosy) through new orifices, created by mashing soft, rotten parts of their skin with your penis. After banging several new glory holes into your unfortunate friend, one finishes the Leper Supreme by dipping a nacho chip into a gooey part of their head and eating it.
When ordering food from a drive-thru restaurant, if your order is sufficientlyexceptional or complex that you are directed to pull forward to a parking space.
Tiny tiny people. Not dwarves or midgets or small people but people the size of thumbelina. The latter part of this word obviously describes their hieght, the first however indicates that they have a foul age old skin condition which probably doesn't exist anymore.
'A, B, C, 1, 2, 3 Thumbelina has leperacy. Oi Leper, can i dip my sarnie in it'.
'You leper-rachaun'.