Drinking excessive amounts of alcohol to the point were your making bad decisions like taking off your clothes for no reason.
Scotty, lets go to the bar and just get all piled up!
by stabelizer November 23, 2009
A once-common game played mainly by boys in their first year of secondary school at Inverkeithing High School in Fife, Scotland. When on a crowded double-decker bus, one must stand at the bottom of the stairs between the two decks and not move. Others will stand behind you, and as many people will try to cram themselves into that tiny little space as possible. Some will get a bit too excited, attacking people and jumping off the top deck, inevitably leading to a riot.
"I heard Chris and John got into trouble yesterday by playing Pile-Up."
by SmileyDudette July 8, 2009
a "pile up" is when u take a monster shit, and when da shit gets piled up on da otha shit.
omg man, afta i ate dat spicy ass taco bell, i had such a big ass pile up it was starting 2 overflow in da toilet.
by pimp daddy dollars September 6, 2004
when one pushes all of their foreskin as far forward as possible and pushes it roughly into something or someone
Jimmy gave Laura a crocidile pile up in her eye and blinded her.
by Fat Harry lard cum January 24, 2007
When you see 7 or 8 mexicans getting in or out of a car that normally holds 2.
There was a mexican pile-up in that Honda I saw outside the taco restuarant.
by jeello May 6, 2011
When your ADHD is at its peak and your dishes pile up, your laundry piles up, your mail piles up etc. and it all hits at once and cut to 2AM and you realize you’re vacuuming your oven
Ashley: remember those wine glasses from 3 weeks ago? I still haven’t washed them

Amy: oh man you must have hit that ADHD pile-up
by nextdoor_simpleton February 4, 2023