A geographic location and a state of mind that generally can be used to reference a small east coast city, otherwise known as Baltimore. Smalltimore refers both to Baltimore's size and its clique oriented social scene. Smalltimore is a pejorative term that refers to the fact that everyone in Baltimore knows each other, and shares the same sex partners. As well no one ever leaves smalltimore, and no one outside smalltimore knows jack shit about Baltimore.

When you eat dirt for the first time and leave your family to build a shack in the woods