A person possessing qualities such as fat, obese, sweaty, smells like raw meat, or overall morbidly obese. He or she who is a macaroni meat mountain is usually ugly as well.
*stirs pot of macaroni*
*macaroni makes squishy sounding noise*
“this is what good pussy sounds like”
Basically a reference to the sound a vagina makes during sex
“damn he did me so good last night had the macaroni noises”
“wtf does that even mean”