Someone so disgusting and twisted for various reasons, such as weird fetishes, disturbing behaviour, personality related reasons or to do an act so gross, that you are not just a son of a bitch, but a sick son of a bitch
12 step recovery jargon referring to someone new who talks about how great life is, now that they'resober. Usually meaning that the person is out of touch with reality.
The new guy seems pretty happy for a dude who has no job, no money and no family. He must be on a pink cloud.