Top Definition
usually for the Necrophiliac type:

You cook up some macaroni then let it cool. You shove what you can into a girls Vagine, and proceed to fuck. The strange sensation is said to feel like having sex with someone filled with maggots.
Jim finally found a girl that would let him 'macaroni twist', but he was out of 'mac', so he used smoe Penne instead.
by Pervo November 28, 2006

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