The n-word, but the real thing. When you want to make clear that someone said the real word, and not just "the n-word"

Being a beastly animal, you're the real deal. The manliest of men, the coolest of cool. Or at least you think you are.

A sentence referring to the movie "The Matrix" in which 99% of the population unknowingly lives in a simulation. In the simulation, certain people learned that that world isn't real and so, if they believe hard enough can bend it to their will. An example of this in the movie is a child saying "The spoon isn't real" whilst bending a spoon with her mind without touching it. This phrase is sometimes used when doing something hard and thinking that if you believe hard enough, you can make it.

not just being real, but admitting you need help in a situation.

someone who doesn't do real sick things, eats cheese, carrot flavored soft serve ice cream, celery. lettuce. someone who doesn't get rowdy and is soft

‘ just trying to get everyone in on the come up’

It means just as it says. For example, if someone says: Look at this loser doing everything but doing that essay due in an hour, you'd reply saying, the accuracy is real tho, because although the joke is funny, it accurately describes what you or the person would be doing anyway. You're not below the joke.