A Royal Flush
When your body goes completely nuts and you do all four things, pee, vomit, cum, and poop, all at the same time. It’s like your body is trying to kill you.
I ate too much pizza and did all four things at once, it was like a horror movie.
My little brother had a Royal Flush and it was the worst thing I’ve ever seen.
I got a Royal Flush and my pants were soaked and my shirt was covered in vomit.