The sound comes from Left 4 Dead, Valve's cooperative zombie shooter released in 2008, where the Boomer is a slow, bloated special infected that vomits bile onto survivors to summon a horde. Its distinctive retching and splattering audio was ripped from the game's files and shared on soundboards, where it became a shorthand for disgust in gaming clips, reaction videos and pranks. Because the effect is so wet and unmistakable, creators still use it years later whenever they need an instant gross-out cue.