The Broteam strep cough has circulated mainly as a short soundboard clip, passed between creators who want a ready-made hacking sound without recording one themselves. Its appeal is in the recognisable kof pattern, which listeners can imitate and quote in comments, making it easy to reuse across reaction videos, memes and short-form edits. Because it is brief and instantly understood, it keeps appearing whenever a joke needs a sick, disgusting or overreacting character, rather than a subtle background effect.