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hand to hand 

a type of fighting or combat without weapons. The term does not preclude use of other body parts, like legs, knees, and elbows. It also doesn't require that the entire fight be stand-up combat or exclusive of ground combat, like grappling and wrestling.
Those two drunk fuckers got into some mean hand to hand combat back outside the bar.
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hand-to-hand

A physical exchange of drugs for money or the crime associated with this act.
Van $tylez: What did you get locked up for back then?
AZ: Uhhhh, hand-to-hand.

hand-to-hand wombat

When two women attempt to claw the other's eyes out, settling instead for the slapping of faces and pulling of hair, usually over a perceived insult or stolen man; typically confined to any TV show designed to condescend to women and thus reap huge ratings.
The words "bitch" and "whore" were screamed, soon followed by the inevitable hand-to-hand wombat.

Hand-to-Hand Wombat

A board game by the developers of Exploding Kittens. Also refers to fights between women.
Friend 1: "Hey whats up? Was just playing Hand-to-Hand Wombat with the gang"
Friend 2: "WHAT?!"
Hand-to-Hand Wombat by PLMMJ January 16, 2024

Back to back hand to hand combat 

When two straight males stand back to back and reach around to jerk each other off, it’s not gay if you can’t see who is jerking you off
I’m not gay so I can’t do a double Dutch rudder, so we went with back to back hand to hand combat

hand to gland combat

Man! You look like you've indulged in some Hand to Gland combat!

hand to gland combat

is when you are enjoying a vigorous masterbation session
i am havin a hand to gland combat