The clip circulates online under its Chinese title 呵呵痾痾痾痾, a written imitation of the sounds being made, with he he for the laugh and the repeated final characters for the long groaning tail. No clear original recording, performer or show has been established, so its spread has happened mainly through soundboards and short video edits where the audio is copied from one reaction post to another. Its appeal stays in that written-to-vocal joke, turning a text laugh into something that slowly falls apart, which keeps it useful for new memes.