Listed under the name of the American duo Twenty One Pilots, this very short clip centres on the phrase 'throw up' and has circulated as a bite-sized reaction sound rather than as a full song excerpt. Its appeal comes from its brevity and its instantly recognisable disgust, which fits the fast pace of memes, short edits and reaction videos. Creators reuse it to punctuate gross, awkward or exaggerated moments without needing a longer setup, and its one-second length makes it easy to drop into almost any edit.