Upstate Overtime 

A version of Beer Pong overtime where four cups are stacked in a pyramid-like fashion, with three cups in a triangle acting as a base and one cup balanced in the middle on top of those three cups. The top cup must be landed in classic beer pong style or knocked off the top of the pyramid before the other three cups are deemed in play. Once the top cup is taken care of, but not before, the three cups at the base are to be played in regular pong style. Some may argue that this is the only true way to play overtime in beer pong.
Origins: Upstate New York; specifically Central New York
beer pong overtime

"We won a tight game of beer pong because the other team struggled to hit the top cup in Upstate Overtime."

Upstate Overtime by A-Train7733 September 7, 2016