- meme usage
- Used in reaction tweets to political news, cringe events, or anything perceived as socially toxic or nauseating.
- sarcasm patterns
- Common in quote-tweets replying to takes perceived as 'infectious stupidity' or dangerously bad opinions.
- quote tweet context
- Added to quote tweets of something disgusting, baffling, or morally offensive.
- trending context
- Surges in usage during health crises, flu season discussions, or viral illness news cycles.
- reply use
- Used as a one-emoji reply to express mild revulsion or sympathy for someone sharing they're sick.