The ultimate insult of somebodies Character, looks and intelligence. Usually said behind the persons back.

Almost always prefaced by she or he's such a...

Ugly refers to their looks. Twat refers to the fact they come across as obnoxious or dumb. Often both.
Robert: Did you hear I went out with Mary last week?

Eric : Really? Mary? She's such an ugly twat.
by MrWeldon February 6, 2018
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