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A loud, annoying person who laughs like a deranged goat. You can hear them from another state.
My cousin's friend is a pain in the ear. He laughs like he just saw a dead rat wearing a hat.
That guy in the back of the bus is a pain in the ear. He yells at his phone like it owes him money.
My neighbor is a pain in the ear. She sings show tunes at 3 AM like she’s auditioning for Broadway.