If it wasn't obvious from the number of consonants that are stacked up next to one another, PMTTWAMOWM is an acronym. More specifically, though, it's an acronym that stands for "pin me to the wall and make out with me."
The phrase has some fairly mysterious origins, but it's obviously best used when you're talking to a romantic partner and want them to do exactly what the phrase might suggest.
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There are also versions of the phrase that are a bit shorter, and say something like PMTTW, which just stands for "pin me to the wall." That first half of the acronym has remained relatively consistent, but the back half can be adjusted based on what specific request you happen to be making. The acronym can also be used for fan edits or videos where a user is trying to express how attracted they are to another person.
