Referring in a derogatory sense to somone who is a gay fuckhead 24/7, thus surpassing all other insult or condemnation.
Man Mr. O'Brien is such a total butt fag.

Fuck, Krause, John, Tomas, and Michael are butt fags.
by Capcom_6 October 13, 2006
Get the Butt Fag mug.