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The term pain mountain was first coined in 2008 by a young gentleman in Perth, Australia. It's a saying which suggests that the user is in a momentous amount of pain.

Pain Mountain may have been derived from equally ludicrous sayings such as "I'm on(/in) a mountain of pain right now", although who really knows.

It's a turn of phrase that brings with it a sense of patheticness and the use of this phrase is usually accompanied by sever intoxication and desperation.
*Jesse falls over and sprains his ankle*
Jesse: fuck me im on pain mountain!
Confused bystander: steady on old chap!
by Way too much time October 24, 2008
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May 1 Word of the Day
When some little bitchboy is acting like a little tiny pee pee poo poo baby and messing up the group plans.
I’m tired I wanna go home

“Oh I didn’t know it was pee pee poo poo hours”
by A7sa July 03, 2019
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