Siamese like where the fuck do I begin?

from Hoodie Allen – Ain't Gotta Work Lyrics on Rap Genius

Meaning

Siamese twins are conjoined at a certain point on their bodies, making it tough to tell which body parts belong to which twin. Two bodies on one person. Cleverly states “I”. He’s building off the previous line, because he’s unsure about what he actually needs.

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