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The expression is used when something really bad happens like a pokemon dying in your pokemon game. It is usually only used when playing videogames like minecraft and pokemon. It could also be used in real-life situations though.
"I have terminal bad after dying in minecraft." "This is terminal bad , I lost the nuzlocke."
Being at the absolute peak of simpitude, to the point where you'll actually die
Guy 1: Hey, have you seen BigBoi recently?
Guy 2: Nah fam, they got Terminally Down Bad and died lol