What it means
It means someone bailed on you right when you needed backup, so now you're stuck holding the mess on your own. You use it when a mate disappears mid-plan, mid-crisis, or right before the awkward bit, and you're the one left looking silly, skint, or stressed.
Usage examples
"Jess promised she’d cover my shift, then didn’t show. I was left in the lurch, flat-out all night while the manager hovered by the till."
"The cousin left me in the lurch at the family wedding in Stratford-upon-Avon last Saturday, he had promised to drive everyone back to the hotel at midnight, then disappeared with the bride’s sister before the speeches, and three of us had to share a single taxi at thirty-eight pounds each."
"The IT contractor left the entire department in the lurch on Friday afternoon when he sent the resignation email at half past four, the migration to the new server was scheduled for the Monday morning at seven, and the team manager had to call in the consultants from the Reading office over the weekend."
"He said he'd come with me to meet the landlord, then texted five minutes before and bottled it. Proper left me in the lurch there."
"Don't tell me you've gone home already, we've still got to carry the speakers upstairs. You can't leave me in the lurch like that."
Where it comes from
This one’s properly old. It comes from lurch, a card game known in English by the 1500s. If you lost so badly you scored nothing, you were left in the lurch. By the late 17th century it had slipped out of gaming talk and into everyday English for being stranded when you needed help most.