CreamPiled refers to when a man ejaculates inside a woman's vagina or anus during sexual intercourse, resulting in visual imagery similar to the cream filling of a pie. If we were to imagine "creampile" in this context, CreamPiled would be an extension or variation of this concept, referring to multiple instances of such acts or sensational effects. In other words - Load and Loads of Cum given to 1 or 2 Females creating a CreamPile.