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I knew Karen was pilled the moment she sent me a YouTube video with QAnon in the title.
pilled by bebophone May 15, 2020
wankered shitfaced bolloxed fucked Something to call someone who is obviously feeling the effects of ecstasy tabs. The person may be sweaty, dazed and have glazed eyes. Sniffing a lot and breathing quickly is also something to look for.
jesus that dude is so pilled

im so pilled right now (sniff sniff)
pilled by dscott2064 July 11, 2006
(Blank)pilled. To be in a contate state of. To be always (blank).
"Oh, I'm basedpilled as fuck." I am literally always right.
"I'm so clearpilled." I am constantly in the right state of mind.
pilled by Nagasan September 30, 2023
someone says this when they are hyper fixated or think/feel a lot about one of their interests. basically a simpler way for someone to say they are obsessed with _ or can't get their mind of _. (this term is used on Twitter/X a lot).
"I'm so hockey pilled"

"ayee me too, what's your team?"
pilled by grey_42 November 25, 2025

pilled out

to be very high on pills... mostly used when refering to opiod painkillers.
"I spend most of my time totally pilled out"

"Did you seen J last night?"
"Yeah she was so pilled out she was nodding off at the bar"
pilled out by J...... May 31, 2006

pilled up 

someone who has taken a lot of pill-form drugs. pilled up refers to the way the person looks after taking drugs. similar to the expression drugged up, but is used to describe a higher drug class, i.e. ecstasy is a class A drug and is a pill. can also be used to describe a general drug high. common expression used at raves and in clubs.
He was so pilled up last night
That is one pilled up chav
you look pilled up
pilled up by lemox June 23, 2005