a confused or jumbled array of things, practices, etc (from another term for a patchwork bed quilt)
The crazy quilt that came from the efforts of the uninformed employees motivated dad to get the position of manager so he could shape a coherent and effective policy of which applicants got hired.
When four or more men are in the process gay oral sex, and one man sucks another man's cock upside down. Then the man getting his cock sucked does the same to another, and this continues through the line.
When you insert a large quantity of illicit substances into your rectal cavity, causing your bowels to expel everything, covering you in a blanket of fecal matter.
Jimmy didn't have a blanket so he just butt chugged a 1/5 of Lean ™ and made himself a boof quilt to keep him warm.