Usually means: Say what you're thinking now.
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We found 9 dictionaries that define the word spit it out:

General (7 matching dictionaries)
  1. spit it out: Longman Dictionary of Contemporary English
  2. spit it out: Merriam-Webster
  3. spit it out: Oxford Learner's Dictionaries
  4. spit it out, spit it out: Collins English Dictionary
  5. Spit it out: Cambridge Advanced Learner's Dictionary
  6. spit it out: Wiktionary
  7. Spit It Out (IAMX song), Spit It Out (Slipknot song), Spit It Out (game show): Wikipedia, the Free Encyclopedia

Medicine (1 matching dictionary)
  1. spit it out: Merriam-Webster Medical Dictionary

Slang (1 matching dictionary)
  1. spit it out: Urban Dictionary

Definitions from Wiktionary (spit it out)

verb:  (informal, often imperative) To overcome reluctance to say something particular or to speak in general.

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