Guts-out definition
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The director was understandably elated, thanking everyone who had worked their guts out over the past 16 months.
I've had nothing off this state except the NHS and they're ripping the guts out of that.
You can drink beer until you puke your guts out to compete for the title of Insanely Dependant Alcoholic, or use the screen blurring effects this creates to add extra difficulty to your next battle.