PMX Share definition Flag A maniac. One who cannot control themselves in a public situation. One who wears a pink shirt out in public and strikes out in a blind rage when someone comments on it. He has had too much to drink. He bumped into that guy purposely to start a fight. He is a PMX. PMX by LOTB November 29, 2003 0 0 Get merch Get the PMX mug. Buy Now — $32.95 See more merch