how do i fix this?

Well I'm gonna try and hammer and dolly it, if that doesn't work I'm just gonna cut a square out, weld in a new square and then drill a new hole and insert the key cylinder

Looks worse than it really is guys! From what I see the culprit drove a flathead screwdriver between the cylinder and the doorskin and peeled the sheetmetal back.

Just use a flat steel dolly and a shrinking hammer to work it out. You will need to peel the ripped peice back around with a pair of needlenose and dollie it flat. Even the notches for the lock cylinder will be there! The hole is flat to begin with. You will need to tack weld (MIG if possible) the rips until the rip is full. Do this slow letting each tack cool completly before the next weld. Grind smooth. A little Evercoat metal glaze and a few peices of sandpaper, done!

I worked at a Ford Body Shop for ten years. I have repaired hundreds of truck doors in the same condition.