The sound comes from The Ren and Stimpy Show, the Nickelodeon cartoon that premiered in 1991, and the specific moment is credited to the episode Insomniac Ren. Stimpy, the good natured cat voiced by Billy West, was known for huge emotional swings opposite the irritable Ren. Clips of his extreme reactions later circulated on soundboards and in edits, where this scream survived because it captures the show's manic, gross out style in a few seconds and works even without the original scene for modern reaction videos.
About this sound
Stimpy's terrifying yell from the Ren and Stimpy episode Insomniac Ren is a high pitched cartoon sound used for panic, jump scares and over the top reactions.
This is Stimpy letting out a full blown terrified scream, the kind that starts sharp and keeps climbing until it sounds almost too big for the little cat. The voice cracks with panic, stretches longer than a normal reaction, and lands somewhere between genuine fear and classic cartoon exaggeration. Because Ren and Stimpy built its humour on extreme expressions, the moment feels instantly funny even when the character is supposed to be scared. Played over a calm scene it creates instant chaos, making a small fright look like a complete meltdown.