Sounds like couughh auughh belong to the wave of exaggerated vocal reactions that spread through short form edits, gaming clips and meme compilations where a single noise replaces a whole reaction. It sits alongside goofy ahh sounds and the scream meme in soundboards because all three turn discomfort into something shareable and funny. Creators reuse it as shorthand for being sick, overwhelmed or done with a situation, and its long nine second run gives editors room to stretch the joke without looping.