Similar to the Jersey Meat Hook, the Malaysian version differs in that not 2 but 4 fingers are inserted into the anus, and the thumb is inserted into the vagina. Once fingers are in place, clamp down into the skin of the orifices and in a swift upwards motion, proceed to tear out the connecting flesh which separates the vaginal canal from the rectum.
Did you hear about Tom's mom? I gave her the Malaysian Meat Hook, now I can fuck her in her pussy and her ass at the same time!
After executing the Malaysian Meat Hook, Joshua ate the bloody piece of torn flesh clasped in his fist.