Existing tampering detection benchmarks largely rely on object masks, which severely misalign with the true edit signal: many pixels inside a mask are untouched or only trivially modified, while subtle yet consequential edits outside the mask are treated as natural. We reformulate VLM image tampering from coarse region labels to a pixel-grounded, meaning and language-aware task. First, we introduce a taxonomy spanning edit primitives (replace/remove/splice/inpaint/attribute/colorization, etc.) and their semantic class of tampered object, linking low-level changes to high-level understanding. Second, we release a new benchmark with per-pixel tamper maps and paired category supervision to evaluate detection and classification within a unified protocol. Third, we propose a training framework and evaluation metrics that quantify pixel-level correctness with localization to assess confidence or prediction on true edit intensity, and further measure tamper meaning understanding via semantics-aware classification and natural language descriptions for the predicted regions. We also re-evaluate the existing strong segmentation/localization baselines on recent strong tamper detectors and reveal substantial over- and under-scoring using mask-only metrics, and expose failure modes on micro-edits and off-mask changes. Our framework advances the field from masks to pixels, meanings and language descriptions, establishing a rigorous standard for tamper localization, semantic classification and description. Code and benchmark data are available at https://github.com/VILA-Lab/PIXAR.