Usually means: Extremely full or very drunk.
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We found 7 dictionaries that define the word tight as a tick:

General (2 matching dictionaries)
  1. tight as a tick: Wiktionary
  2. tight as a tick: TheFreeDictionary.com

Business (2 matching dictionaries)
  1. tight as a tick: Legal dictionary
  2. tight as a tick: Financial dictionary

Computing (1 matching dictionary)
  1. tight as a tick: Encyclopedia

Medicine (1 matching dictionary)
  1. tight as a tick: Medical dictionary

Miscellaneous (1 matching dictionary)
  1. tight as a tick: Idioms

Definitions from Wiktionary (tight as a tick)

adjective:  (slang, simile) Drunk, inebriated.
adjective:  Fully inflated; swollen near to bursting.
adjective:  (slang, simile) Unwilling to spend money.

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