Top Definition
The act of slitting open the neck, just above the adam's apple, and pulling the person's tongue out through the hole, making it look like a little necktie.
Jimmy squealed to the cops, so the boss gave him an italian necktie.
by Inked up & pierced out August 01, 2006
1 more definition
5 Words related to italian necktie
An act of torture in which the neck is sliced open at the bottom jaw and the tongue pulled through. Makes you look like a dumbass right before you die.
"How do I look?"
"Fine...wait, your italian neck-tie is a little crooked."
by Zac C June 03, 2005

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