puke (one's) guts out

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puke (one's) guts out

To vomit violently and at length. My friends got me so drunk on my 21st birthday that I spent the whole next day puking my guts out.
See also: gut, out, puke
References in periodicals archive ?
Be man enough to make the quick grunt up the hill to make the shot when we spot the herd without puking your guts out. I might look like a swollen tick setting on the back of that horse, but you'll do well to keep my rear end in sight when it comes to chasing elk over the ridge.