Abide pilled means: Someone who has fully internalized the philosophy of radical acceptance and letting things unfold without forcing outcomes - a convert to the church of rolling with it. Being abide-pilled means. There is no real cause for parental concern; it is descriptive vocabulary rather than risky behaviour. If your teen uses it, context will usually make the intent clear. A short, curious question about where they heard it is usually all that is needed to know whether to follow up.