The term 'twisted and knotted' can be summarized by the word 'GNARLY', which is a slang term used to describe something that is difficult or complex. It is often used to describe a situation that is chaotic, unpredictable, and hard to understand. The term is also used to describe something that is twisted and knotted, such as a rope or a tree branch. In this context, it implies that the situation is tangled and complicated.