A combination of utter beauty and the burning pain of a thousand suns, wrapped into a single fanfiction. Readers have, on many occasions, wished death upon themselves for reading it, death upon others for writing it, and commonly use the phrase "Twist and rip my fucking heart out." Additionally, due to the previously mentioned pain of the narrative, readers, after finishing this emotional hell, have severe emotional reactions to seemingly harmless phrases. For example, "I can dig Elvis," "See you then," and even the three little words, "I love you," bring on a wave of uncontrollable pain. Those who have read it share common masochism, inability to listen to the music of Elvis Presley, and fear of beaches.

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The act of putting your fingers into your lovers anus, grabbing hold, then you twist your hands and pull your hand out causing them to shout in pain

Throwing up and diarrhea at the same time.

a method of masturbation brought to light in an episode of the HBO series Real Sex whereby a man uses a twisting motion of his hand on his shaft and then lets out a vocal shout

When one has such bad diarrhea that it triggers the an involuntary vomit into the same toilet resulting in a “twisting” movement while on the toilet.