Usually means: Accumulation of multiple vehicles colliding.
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We found 10 dictionaries that define the word pile-up:

General (8 matching dictionaries)
  1. pile-up, pile-up: Collins English Dictionary
  2. Pile-Up, pile-up: Wordnik
  3. pile-up: Cambridge Advanced Learner's Dictionary
  4. pile-up: Wiktionary
  5. pile-up: Dictionary.com
  6. Pile-up: Wikipedia, the Free Encyclopedia
  7. pile-up: TheFreeDictionary.com

Slang (1 matching dictionary)
  1. pile-up: Urban Dictionary

Tech (1 matching dictionary)
  1. Book Binding (No longer online)

Definitions from Wiktionary (pile-up)

noun:  (colloquial) A pile, a group of people or things which have piled up on one another, especially
noun:  A pile of crashed vehicles due to a traffic accident.
noun:  (American football) A pile of tackling players.
noun:  An accumulation that occurs over time, especially one which is not welcome.

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