cincinnati pileup Share definition Flag Cincinnati pile up is when three or more men take turns shitting on a chicks face. "Sorry I'm late for work, but my face, and around three guys, were involved in a Cincinnati Pileup." cincinnati pileup by Capnbunz February 15, 2014 0 0 Get merch Get the cincinnati pileup mug. Buy Now — $32.95 See more merch