(US, humorous) Used as an indirect way to state that someone is mentally deficient.
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(humorous) Used as an indirect way to state that someone is mentally ill.
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Add your own interpretation of "one's elevator doesn't go all the way to the top".
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.
See all Regional & Other slang on Slangora.