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sick as pig shit 

an absolute looney-bird; crazier than a person on flakka
Man, that dude is sick as pig shit, a real bonehead!
sick as pig shit by talk2me-JCH2 September 2, 2022

Pig Sick 

Pig sick is when you feel very sick. Not to the point where you need to go to the hospital, but sick enough that you can complain to all your family and friends and instead of laughing at you, they actually sympathize.
Person 1: "Just how sick are you?"

Person 2: "My head hurts, I have a runny nose, and a sore throat."

Person 1: Woah, you are definitely pig sick."
Pig Sick by Tortilla Chips Hurray February 6, 2012