McDouble hoe means your fat. It can also mean that you have a big 2 patty (A big ass) in a bad way. But most likely your fat
Shut up Mathew you McDouble hoe
Tilia is such a McDouble hoe
Used to describe a woman with low sexual value, typically synonymous with "hoe" and "thot". It is derived from her genitals being worth that of a Mcdouble.
"Bro you see Keisha recently, she's bad as fuck."
"Nah bro everyone's had that Mcdouble Pussy."