To say something in a labored or brusque manner. A noun or pronoun can be used between "grunt" and "out." Luckily, the patient managed to grunt out her symptoms before collapsing. The boss grunted her coffee order out, and I sent my intern to fetch it.
grunt something out
to say something with a snort or grunt. Jane grunted a command out to someone. She grunted out a curt command and the gate opened.