He had spent only two nights here, one of them puking his guts out.

I was sick, threw up in the road, puked my guts out.

Apparently there are not many people who can complete the gallon-of-milk challenge without puking their guts out.

Some could not run more than a few paces without puking out their guts.

Within minutes he heard Rahz puking her guts out in the cabin.

"She was puking her guts out," the younger man said.

"There was the small matter of puking my guts out for a day and a half," Jared said.

"They might murder us while we're laying in the scuppers puking our guts out."

He got down on hands and knees and puked his guts out.

I see somebody dead, see a little blood, and all of a sudden I'm puking my guts out.