kentucky patty melt Share definition Flag A sex act where one dips a piece of fried chicken in nacho cheese and inserts it into a woman's vagina. She wanted something exotic, so I gave her the ol' Kentucky Patty Melt. kentucky patty melt by Esteban Slapahoe March 14, 2018 0 0 Get merch Get the kentucky patty melt mug. Buy Now — $32.95 See more merch