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Refers to Pierce County, Washington, which has the highest rates of methamphetamine production in the western United States. Made famous by Mark Lindquist's book The King of Methlehem.
He lives in Tacoma, but tweekers call it Methlehem.
Methlehem by AshleeUCLA January 11, 2008
Related Words

bethleham 

i hate it so much
bethleham by scobby September 3, 2003
The feeling a person has on large amounts of crystal meth.
Welcome to methlaham friend...

methlamore 

Someone who does large amounts of meth then later goes to larp and is named Steven maracle
imma go be a methlamore
methlamore by Adolf dripplrr June 7, 2019

Bethlehammered 

Being hammered on Christmas Day after drinking too much.
Is Dave bethlehammered again?
Yep.
Bethlehammered by BillClintonGaming September 4, 2022

Stink lines

As seen in illustrations or cartoons: Wavy, vertical lines rising above a person, place or thing. Denotes a foul odor.
"You didn't put enough stink lines on your picture of the teacher."
Stink lines by Athene Airheart March 14, 2004