A shirt size. In the North it is referred to as "6XL" or "XXXXXXL". Named so because of the massive size of some Texans.
Guy: What size shirt do you wear?
Fat girl: Small.
Fat girl: Texas small ;)
A really nasty, bad, bowel churning shit. The kind that burns.
Ben: Aight man I gotta shed some Satan's Tears.
Nate: Haha laters.