Usually means: Graphic, visceral depiction of violence.
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We found 17 dictionaries that define the word blood and guts:

General (16 matching dictionaries)
  1. blood-and-guts: Merriam-Webster
  2. blood and guts: Oxford Learner's Dictionaries
  3. blood-and-guts: American Heritage Dictionary of the English Language
  4. blood-and-guts: Vocabulary.com
  5. blood and guts: Cambridge Advanced Learner's Dictionary
  6. blood-and-guts, blood and guts: Wiktionary
  7. blood-and-guts: Infoplease Dictionary
  8. blood-and-guts, blood and guts: Dictionary.com
  9. Blood and guts: Wikipedia, the Free Encyclopedia
  10. blood-and-guts: Rhymezone
  11. blood-and-guts: FreeDictionary.org
  12. blood-and-guts: Mnemonic Dictionary
  13. blood-and-guts: TheFreeDictionary.com
  14. blood and guts: Longman Dictionary of Contemporary English

Miscellaneous (1 matching dictionary)
  1. blood and guts: Idioms

Definitions from Wiktionary (blood and guts)

noun:  (idiomatic) Gore; gruesome images.

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