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Speaking from the West Coast of the United States, the terms "roll" and "fatty" could be used to describe a joint, though not often.
According to pop culture, the following terminology is defined as such:
A blunt is like a joint, except that it's rolled with paper infused with, or made out of, tobacco. This is a significant difference.
A spliff is often rolled just like a joint, and with the same paper (Zig-Zags for example). However, loose tobacco (either from a dissected cigarette, or purchased loose) is mixed in with the marijuana in varying ratios. This is also a significant difference.
Usually you would call a joint either a joint, or a J.
I've also heard "nail" used on a semi-regular basis. However, I'm not an expert in ambiguity, and cannot provide a thesaurus-like list of names off the top of my head. So I would suggest checking out the site that I linked below.
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