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Spongebob:(in southern accent) Alright pinhead,your time is up....
Patrick:Who you callin' pinhead?
Pinhead by 3975 January 16, 2018

Pinhead Larry 

Patrick's alter ego in "Survival of the Idiots"; he argues he is in fact Dirty Dan. He is not; SpongeBob is. Also he makes the awesomest face when he asks "Who you callin' Pinhead?"
Wasn't Pinhead Larry the second toughest outlaw in history?

Hell Yeah! He was only ousted by Dirty Dan.
Pinhead Larry by WhoDaresWins March 8, 2010
One who lacks the intelligence of the "normal" sector of the human population; even so cannot handle the most mundane of tasks due to the lack of common sense and intelligence.
Don't screw with my computer you fucking pinhead; you'll break it!!!
pinhead by Buck May 9, 2003
someone who smokes crack in a pipe, as opposed to lacing a cigarette with it.
people who smoke primos think they are better than pipeheads, but they are still smoking crack.
pipehead by fatfreddy January 23, 2008

pie head 

Someone whos totally thick as a brick, hasnt got two brain cells to rub together!
Fucking think aboutwhat youre doing man, you fucking pie head!
pie head by lorraine scott September 4, 2006
Some one who has a small head for their body size. Also can be characterised by a small jaw and/or large ears. Obviously, some one with a small head, receeding jaw and large ears can be described as "piphead extremis".
While watching the TV we noticed that the presenter was a Piphead. The more we looked the more obvious it became.
Piphead by maudibe July 3, 2009