With no clear credited source, the Aow clip has spread mainly as a generic reaction sound on user soundboards and in short-form edits. Its brevity makes it easy to drop into a timeline without covering dialogue, so creators reuse it for ouch moments, slapstick hits, and exaggerated pain reactions. Short vocal effects like this became common in meme editing because they read instantly on mute-off playback, travel well across languages, and can be repeated across different videos while still feeling tied to the exact moment of impact shown on screen.