It's wide ranging. For example, when I was diagnosed with one of those things that requires a hematologist I told the receptionist jokingly: "I got the spicy diagnosis"
You also sometimes get it having a connotation of sexuality but that actually seems like a holdover of an older (maybe millenial?) idiomatic usage of the word
In context it made sense the first time they said it, out of context I'd probably have had no idea what they meant.