How do you mean?

A: Have you noticed anything strange between her and the president?
B: How do you mean?
A: I passed them in the hall yesterday. And they seem… I don’t know… very intimate.

Question: Is it okay to use “what do you mean” in this situation?
Thank you!!!

Yes. I only use “What do you mean?”

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The person asks, ‘Have you noticed anything strange between her and the president?’
How do you mean? is a way of asking, In what way do you mean? How do you mean ‘strange’? ‘Strange’ in what way? What do you mean by ‘strange’?

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They mean the same thing but, to my ear (I’m from the UK), “what do you mean?” is slightly more direct and confrontational.

I’ve never used “How do you mean?”. I gather it’s an American expression. “What do you mean?” for Aussies is perfectly normal; tone of voice changes the nuance.

American here, we would not make any distinction, both are fine.

In American English: ‘How’ is ‘correct,’ but sounds awkward.

‘What’ is colloquial, but sounds correct.

Another way to look at this: ‘What’ asks the question to be defined … and ‘Why’ asks ‘strange’ to be defined better …

Both fine, no explanation necessary.

It is one of the accepted variants of using, don’t worry. There are several of them