Characterized by or involving twisting and contortion; bent or twisted out of shape.
A rare or archaic formation combining 'contortion' with the suffix '-ate' (characterized by), creating an adjective meaning 'full of contortion' or 'twisted in nature'.
This is an extremely rare word in English—you'll almost never encounter it in modern writing—which shows how language naturally selects simpler forms over more cumbersome ones, and 'contorted' wins out because it's shorter and clearer.
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