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A sexually transmitted disease that has evolved from syphillis, genital herpes, and the "clap."
"I heard she got the gotch, what a slut!"

"I don't know what the gotch is, but I'm pretty damn sure I don't have it!"

"I think the gotch count in the room is about ten."
by Paul Haggis, Dan Larsony January 12, 2008
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