Quite simple: I start off with 2 words. The next person keeps one of the words and replaces the dropped word with another.
Examples: Run fast
Fast cars
Cars rock
My word to start: Christmas holiday
good looking
good oil
olive oil
Sicilian olive
olive skinned
fair skinned
fair hair
hair brain
brain dead
dead head
head lice
head man
man friday
girl friday
that girl
take that
take out
out take
dine out
out strip {starkers bait}
strip joint
joint account
arthritic joint
arthritic hip
hip replacement
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