The emote is commonly used when:
- A streamer is in a difficult or tense situation in a game (clutch moments, boss fights, competitive matches)
- Something goes wrong during a stream (technical difficulties, mistakes, fails)
- Viewers are anxious about an outcome or decision the streamer is making
- Reacting to drama or controversial topics being discussed
- When chat is worried about the streamer's choices or actions
- Expressing second-hand stress or concern for what's happening on stream
- Humorously overreacting to minor problems or inconveniences