And ups to shut
As it’s unclear whether this line is “ups to shut” or “ups to chuck”, you can take it one of three ways.
After Earl forcefucks a girl, he threatens her, telling her he’ll kill her if she tells anybody — thus, “shut up”.
Earl’s popping pills — more specifically “upper/ups”; stimulants that would make raping that much easier.
Earl’s done too much of something (probably alcohol) and is vomiting his guts out, or is “upchucking”.
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