Used to describe something that pains you to say or do.
It kills you to have to admit it. Hence, with a bullet.
"Number five: Jackie Alden. Jackie Alden's breakup had no effect on my life whatsoever; it was a casual thing and I was glad when it ended. I just slotted her in to bump Laura out of position. But now... Congratulations, Laura. You made it to the top five. Number five, with a bullet, welcome."
---John Cusack in High Fidelity
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