Definder - what does the word mean?

What is Twist and rip my fucking heart out?

Normally used by Destiel shippers as a play on a famous fanfiction called Twist and Shout.
Because of how sad the fic is, many feel their heart is ripped from their chest.

Girl 1: Have you read Twist and Shout?
Girl 2: More like Twist and rip my fucking heart out!
Girl 1: I know! It's so sad.

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Twist and rip my fucking heart out - video