Its cold as hell outside!
That kid is dumb as hell!
Ooo, that guy is hot as hell!
She is smart as hell!
As you can see, it never really makes sense. Really, is hell cold, dumb, or smart?
Person 2: As hell!
Meatwad: Woah! Slow down lil' piggy! If there's one thing that grosses me out, it's fat people... like you.
Shake: I'm fat?
Meatwad: As hell! Have you seen yourself?! If I were you I would not eat anything... unless you're plannin' on gettin' rid of it. And I ain't talkin 'bout no digestion, I'm talkin' 'bout *blehh* *blehh* (motions as if gagging himself)