1. A hybrid of the words egotistical and twisted.
2. An adjective describing one who has become so ultimately consumed by their ego, that their entire view of the world and everyone in it is twisted. They usually perceive themselves as 'God's Gift to Women (mayhaps Men ...)' or are just plain sick as well as cocky.
3. One who is extremely egotistical and twisted.
Monkeyboy is vair, vair egotwistical.