tits up in the gutter Share definition Flag Passed out in the street, typically from drunkeness or similar causes. After his 16th beer, Freddie ended up tits up in the gutter. tits up in the gutter by Figleaf23 December 29, 2008 0 0 Get merch Get the tits up in the gutter mug. Buy Now — $32.95 See more merch