Coined by rapper Bizzare ButtFuck Tennessee is used as a term like Up Shit's creek without a paddle or as a small rural town that is boring. Also used n question form to insult someone hick or country.
Person One: Dude there's nothing in this town but a dollar tree.
person two: Welcome to ButtFuck, Tenessee
Hick: Hay ya young' ins wha ya dog gone stoled my gitty up
me: Where are you from? ButtFuck, Tenessee?
Person 1: He knows you slept with his daughter and he knows where you sleep at night.
Person 2: Well i'm in ButtFuck, Tenessee.