Cassie Cage debuted in Mortal Kombat X, the 2015 fighting game by NetherRealm Studios, as the daughter of Sonya Blade and Johnny Cage. Like other fighters in the series, she has a set of pain grunts and screams triggered by throws, combos and Fatalities. Short clips like this impaled scream were ripped from gameplay and uploaded to soundboards by fans, where they circulate alongside other Mortal Kombat voice lines. Creators keep using it because it is a clean, instantly recognizable female pain scream from a major fighting franchise.