Unlike realistic sickness recordings, this version became popular online as a shared reaction effect because its length and exaggeration are easy to recognise even without visuals. It circulates on soundboards and in meme edits grouped with other prank and disgust reactions, often paired with shocked faces or a sudden cut to black. Creators keep returning to it because the escalating retches give editors clear timing points for reveals, captions and zooms, making a simple gross moment feel like a complete comedic beat.