Its ambiguous, but it seems to expresses the speaker regrets not feeling regretful about the topic, as if to acknowledge that one might (and maybe should) sympathize with the other party, but in fact does not.
Depending on the context, it might also merely express that speaker is an asshole.
As a parent I say this about my kids all the time.
"And then he threw a tantrum because it was time to go, you know the exact thing I warned him about 5 minutes prior, and 15 minutes before that. Sorry, not sorry."
Do people still say that? I thought that got played out years ago lol
It's just a buzzwordy way of demanding that everyone notice their shitty opinion about something people probably didn't care about that much to begin with.