Definitions submitted by Soursopjangastew

Used to describe a stupid person, particularly a bad driver usually carrying multiple unfortunate passengers. Someone is often called Macaroni after any type of automobile accident or if they are known to have had one or more crashes.

Patois: Lawd God, if wi nah go dash weh dis Macaroni yah inna di cay, him sure fi sink wi off inna di port!
English:
Oh God, if we don't throw captain idiot overboard in the key, he will surely sink us in the port!