PUSS ACHE Share definition Flag A insulting term used in Fife, Scotland for someone who is not pretty or has a general highly defined resting bitch face. "Hey puss ache!" or "He looked like a real puss ache" PUSS ACHE by 31merfud January 31, 2021 0 0 Get merch Get the PUSS ACHE mug. Buy Now — $32.95 See more merch