The sexual act of the female while having a yeast infection getting the males counterpart (pepperoni stick) inside her.

Bonus Points if she’s menstruating also, true West Virginias know that a pepperoni roll isn’t complete without the red sauce and olivario pepper chunks.
Babe bend over, I’m about to give you a West Virginia Pepperoni Roll!
by Dudley1%er May 17, 2023
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