Derivation of "What in the Sam Hill......"
Merriam-Webster has a discussion of this phrase and others at the link below.
Seems your phrase, as in "What in the Sam Hill are you doing?", is a euphemism, an inoffensive expression used to substitute for terms that might offend or suggest something unpleasant aka "Minced oath". The hill part is thought to be a stand-in for the word hell, but why Sam? Theories abound, but proof is scarce.
If the hill part stands in for hell, it's not too quantum a leap to think that the Sam part may stand in for damn which turns "damn hell" into a more socially acceptable form, Sam Hill".
Just another one of those abounding theories HJR
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