during intercourse, you stand up, squat over her mouth, and shit down her throat, blocking off her airway. you continue to force your penis in and out while urinating. this may result in death. that's why it's called "THE RUSTY REAPER"
Todd: Alright bitch, time for the Rusty Reaper!
Hank: Yo man, I gave the love of my life the Rusty Reaper last night.