As with most BDSM practices, there are different ways people experience emetophilia. Vomiting preferences can be very broad—anything involving vomiting can provoke a sexual response. It can be very specific aspects of vomiting that cause sexual arousal or satisfaction.

Vomiting sounds
For some people with a vomiting fetish, sexual arousal or excitement comes from the gagging sound and squirting of vomit. The vomit itself is unattractive or disgusting.

Vomit smell
Smells are often associated with sexual arousal. We associate perfumes with beauty and the secret, intimate rituals of the erotic body. People get very aroused by the smell of semen, pussy, feet, hair, armpits, and more.

It’s very common for people with a pissing preference to love the smell of urine. Less common are those who are aroused by the smell of feces, but many people with coprophilia find the forbidden smell of shit very exciting. With emetophilia, the smell is the trigger of desire for some people.

Type of vomit
People with a vomit preference often differentiate between the types of vomit. Some are aroused by certain compositions of vomit, such as bulky and watery, lumpy, alcohol-soaked, etc.

Reason for vomiting
Interestingly, the reason for a person’s vomiting can affect whether or not the person with a vomit preference is aroused! There are preferences in which someone states that vomit from someone who is sick in the hospital or going through chemotherapy does not arouse them, but vomit from drunk people at parties does. Some vomit lovers find the secret rituals of women with anorexia or bulimia incredibly arousing, but the vomit of a few drunks at a party does nothing for them.