Top Definition
A sexual position in which the taker lays down on their back or stomach on a bed. The giver then drives there penis into the takers hole(s). The headboard is the tombstone so therefore, their head will be rammed into the headboard (tombstone). Thus, the Tombstone Piledrive
I Tombstone Piledrived Kacee last night. I busted her skull open
af TheRedneckBully 17. november 2013

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