When you use all of your fingers and toes, your penis, and your tongue, while thrusting your pelvis and giving a maniacal laugh. If done right, you can please up to 22 women.
Did you see that sith lord perform the Grand Opening? He was penetrating 22 women!
When you fuck a four-person family, usually both parents and both children, though this can be interchanged (Three children, one parent, etc.) to your liking. MUST be an immediate family, cannot be a cousin, grandparent, uncle, etc.