Place it at the end of a failed attempt, just as the action stops, then follow it with Vine Boom for a comic beat or Bone Crack to underline a heavy impact. For a multi-hit fail sequence, put Punch Sound before it so the hit leads into the elimination.
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This is a short male death vocal effect lasting about 1.6 seconds, built around a single strained groan that cuts off abruptly. It feels sudden, dramatic and darkly funny, like the last beat of a failed run rather than a serious injury.