italian necktie 

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.

italian necktie by Inked up & pierced out August 1, 2006

italian neck-tie

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."

italian neck-tie by Zac C June 9, 2005