The tone comes from Dead Space 2, the 2011 survival horror game in which players guide engineer Isaac Clarke through a necromorph outbreak on a space station. The flatline is the sound heard when a run ends in death, and players began clipping it from gameplay footage for reaction videos and montages. It later spread through short-form edits and soundboards as a shorthand death sound for jokes, fails, and dramatic exits. It endures because the meaning is instantly clear, even without any game footage, and the long tone gives editors a pause that feels final.