Something is horribly twisted here.

His compassion and his humor had been horribly twisted.

Susan's life had been twisted horribly, and that was my fault.

In their black hearts burns a spiteful malice which has horribly twisted the entirety of their being, both body and soul.

His arm was at the wrong angle to his body, most definitely, and his neck had been horribly twisted so that his head was not right.

His leg was twisted horribly.

Steel I-beams were twisted horribly out of shape, and splinters of wood were found embedded into nearby concrete walls.