With no clear original source attached to the clip, it has circulated mainly as a short reaction sound for unsettling or exaggerated illness jokes online. The title comes from the deadpan line about a guy looking really sick, while the audio itself is filed as a creepy scream, which gives the joke its horror-movie twist. As a scream meme, it works because the long, wavering sound makes a simple sick joke feel much worse than it looks. Creators keep returning to it for cursed edits, dark humour, and over-the-top reactions where a normal sound effect would feel too tame.