A left-handed cigarette is a classic slang euphemism for a marijuana joint or spliff. The 'left-handed' framing plays on the traditional association of left-handedness with something irregular or outside the norm. It's one of dozens of coded terms for a cannabis cigarette that have circulated over the decades, used when people want to be conspiratorial or humorous about it without saying the word directly. You'll find it in mid-20th century slang, British usage, and anyone who likes their drug references to sound slightly genteel.
He winked and offered her a left-handed cigarette, which she declined with a laugh.
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Regional slang from around the English-speaking world — British, Australian, Irish, Caribbean, Nigerian, Filipino, AAVE, and the hyphenated-English dialects that make the internet sound local.
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(slang) A marijuana cigarette.
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