When the sigh ugh isn't enough. Sometimes you have to let out more than a typical ugh.
You're on the couch and your mom says "Can you go pick me up some milk?" All you can say is "Gugh!"
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When you're feeling devious or mysterious...
(Guuuuuhhh-Hugggghhh)
"gughhhh, Emily are you GUGHHHHHHHHH!"