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West Virginia's middle finger 

A narrow strip of land that pokes up between Ohio and Pennsylvania
The city of Wheeling is located on West Virginia's middle finger.

painted middle finger 

When someone paints their middle finger they are incredibly gay.
beau: Hey have you seen ella’s painted middle finger.
jodie: Yeah i’m so proud of her

Lick the Middle Finger 

1.To have to suck it up and deal with a situation.

2. Another way, if used in the context "Lick my middle finger" can be another way to say "fuck you" in a less In-your-Face fashionisto.
Boyfriend: Hey, Tim my moms coming over for brunch!
Tim: But...ugh..babe, i love you, but your mom...are you serious? c'mon, you kidding me? why are you letting that woman in our house?
Boyfriend: Look, sometimes you just need to lick the middle finger and suck it up, she's your mother in law.

Hawiian-style middle finger 

Act of flipping someone off (the bird) using your ring finger rather than the middle. Also see Hawiian bird
Kilikopela used the Hawiian-style middle finger on the school playground much like his ancestors used upon Captain Cooks arrival.

The Middle Finger 

The part of East Atlanta (Zone 6) that sticks into DeKalb County, GA, as it shape resembles a middle finger. Gucci Mane, 21 Savage, JID, HoodRich Pablo Juan and many others rep this area.
EA - Young Nudy ft. 21 Savage:

“I’m from the middle finger.... fye... zone 6... East Atlanta... Brick City! Shticks all that shit!”

Middle finger wit tha fye”

Middle Finger Zone 6, dirty land dirty shticks”
The Middle Finger by Tuantingtong January 21, 2019

Gay middle finger

The gay middle finger is a term made famous by singer and ex- One Direction band member, Louis Tomlinson. He is one of the kindest and most angelic people on Earth, but he is also known as “The sass masta from Doncaster,” and he is known to frequently flip people off for a variety of reasons, whether it be lovingly towards his long term boyfriend, Harry Styles, sweetly towards his fans, or sarcastically towards his friend who, for some reason, likes avocado on toast for breakfast every morning. He has also given the middle finger to paparazzi, who were doing “their fooking job! That’s your job you fooking loosah.” When asked about his favorite phrase or mannerism in an interview, while boyfriend Harry Styles was in the background, Louis said “ehm I think the middle finger is a great one, you don’t even have to say anything. Erm, yeah, I think I’ll go with that.”
Fan 1: “Wow, I wish Louis Tomlinson would give me the gay middle finger while singing Kill My Mind.”
Fan 2: “That would be the best thing that ever happened to me.”
Gay middle finger by Louist28 November 18, 2020