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{{trope}}
[[File:
▲{{quote| ''Thou lov'st me not; for, brother, if thou didst,<br />
▲Thy tears would wash this cold congealed blood<br />
▲That glues my lips and will not let me speak.<br />
▲Come quickly, Montague, or I am dead.''<br />
▲'''~Part Three of Henry VI, Act V, Scene 2''' }}
A character is either dying or badly injured when they start bleeding from the mouth.
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A subtrope of [[He's Dead, Jim]].
See also: [[First Blood]], [[Soap Opera Disease]] and [[Incurable Cough of Death]]. Saying [[I'm Cold... So Cold...]] is another very bad sign. Occasionally overlaps with [[Deadly Nosebleed]]. Not generally related to the [[Psychic Nosebleed]]. If it's the only sign the character gives that they're injured, it's a [[Mortal Wound Reveal]]. Blood from the mouth is also an increasingly popular way to show damage taken from a [[Deadly Upgrade]], or over reliance on a [[Super Mode]].
{{deathtrope}}
▲A stream of blood trickling from the mouth is also a shorthand for "I am a vampire".
{{examples}}
== Anime and Manga ==
* Happens a lot in Shonen series that focus on combat. Used to show that a character really has lost a battle.
* ''[[
** The Hyūga families fighting style uses [[Life Energy|chakra]] to inflict internal injuries rather than external ones. You only know you have been hit after you cough up blood.
** We later see it happen to Itachi during his final fight with Sasuke. No, he hadn't been hit by a Hyūga, he just had tuberculosis or something the entire time. And he ''still'' kicked ass.
*** Also happened to Kimimaro who had a fatal disease.
** Jiraiya has quite a bit of blood coming from his mouth when he dies, as a result of his throat being crushed. Hinata, while appearing to be dead in the eyes of many viewers, had a trickle of blood coming from her mouth. Pain coughs up blood after using Chibaku Tensei, having already used up most of his chakra.
** In one of the more recent chapters Naruto is bleeding from his mouth after a brutal beat-up from a Cloud ninja.
** Who can forget Part 1's Big Finale, after which Sasuke coughs up blood near Naruto, who is passed out on the ground? (It was a rough fight.)
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** Asuma's death
** After Kushina restrains Kyuubi and later Minato when they both are [[Heroic Sacrifice|using their bodies to stop Kyuubi]] from killing their son Naruto.
** Tsunade has Blood From the Mouth in her battle with Orochimaru after she jumps out in front of his Kusanagi sword to protect Naruto. Subverted, though, in that she gets up and continues to fight (and even heals herself).
** Sakura after being impaled with Sasori's sword. The preview has other characters talk like they're mourning her death, only to be interrupted: [[Crowning Moment of Funny|"Cut it out, you guys! I'm still here!"]]
* ''[[
** Happens a few times to Ichigo, most notably before his first real [[Super-Powered Evil Side|hollow transformation]].
** He somehow does it ''through a face-concealing mask'' in his later fight with Grimmjow.
** Censorship in the anime gets a bit silly with this. When Uryu's stomach is destroyed by Szayel Aporro, blood pours out of his mouth; in the anime, WATER comes out instead.
** [[Fan Nickname|Captain Tuberculosis]]
** In Chapter 392, Hinamori has a bit of a trickle, though considering she had just been stabbed in the chest, she had a good reason.
* Hilariously done in the manga version of ''[[Bobobo-Bo
* ''[[Yu-Gi-Oh (
** Happens a few times in the final story arc. Whenever one of their monsters are destroyed, many of the characters cough up a small amount of blood, often shortly before dying. The most extreme example would be ''Bakura (or at least one of the numerous versions of him), who, upon losing a duel against Yuugi, coughs up a huge glob of blood, not long before dying''.
** The ancient Bakura actually vomits blood before dying. ''He comes back.''
** In an episode explaining [[Yu-Gi-Oh! GX (
* ''[[
** Fai spits out blood when he fails to transport himself and Kurogane out of the collapsing world of Celes. Pretty much expected when half his power has been diminished after C!Syaoran ate his left eye.
** Also happens to Kurogane's mother earlier on.
* Played with in ''[[
* ''[[
** Meanwhile, when Kenshin coughs up blood after a particularly brutal hit, one of the women watching the battle actually notes that this means he's [[Justified Trope|sustained major organ damage]]. (The trope is played straight in the [[Non-Serial Movie|Seisouhen OVA]]: this is a sign that Kenshin, and then Kaoru have contracted The [[Incurable Cough of Death]].)
** Also happens with Sanosuke during his battle with Anji.
** Over the course of the ''Samurai X: Trust and Betrayal'' OVA, one of Kenshin's allies (erstwhile boss, really) Takasugi Shinsaku coughs up blood regularly, and eventually dies of his illness while overlooking a battlefield. [[Justified Trope|Completely justified]] in that [[wikipedia:Shinsaku Takasugi|the actual historical figure the character is based on]] also died of tuberculosis before the end of the Meiji Restoration.
* Hyatt from ''[[Excel Saga (
* Pretty much every time a character in ''[[Dragonball Z]]'' got a nice hit in the gut, they'd fall to their knees and start hacking up blood. They are usually fine a few seconds later, strangely enough. It makes more sense in the dub, where the blood is edited out so that it seems like they are coughing just because the wind got knocked out of them.
** This happens so frequently that when a DBZ character hacks up blood, it's treated with about the same concern as if they just had the nonlethal, busted-lip variety. One notable instance was in the first Broly movie; blood is dripping down Broly's face, and he stares at his opponent...then abruptly smiles and licks it off, getting a fairly entertaining [[Squick]] reaction from Goku.
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** When Frieza charges Goku at one point during their battle, Goku punches him right in his chest, causing him to vomit a big gob of blood, as a reminder of Goku's new found Super Sayian power.
* This usually starts happening to people near the end of a season of ''[[Slayers]]''.
* Just about every time someone dies in ''[[Samurai
* ''[[Magical Girl Lyrical Nanoha]]''
** Vita hacks up a lot of blood after one of the [[Mecha
** Precia Testarossa also has this on occasion, as a byproduct of her [[Incurable Cough of Death]].
* ''[[
** Although toned down in the anime, by a lot, in the manga, you can't help but feel sorry for Tsuna when he gets punched around or nearly suffocated to death by the [[Big Bad]]. All this beat down results in a lot of that unpleasant red stuff. Good thing the manga portrays it as black.
** Resident [[Ill Girl]] Chrome suffers from this whenever her illusionary organs give out. Immensely freakier in the manga where they actually ''show'' her coughing up quite a bit of blood.
* ''[[Fullmetal Alchemist]]''
** Homunculi are capable of healing any wound by relying on the power of the [[Powered
** Greed vomits up red stones ''and'' blood.
** Izumi coughs up a lot of blood due to her missing internal organs.
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** In the manga, this is Riza's father's cause of death.
** It is implied in the manga that Trisha died this way (shown via one of Edward's nightmares).
** Also in the manga, at the end of the Briggs arc when Edward is [[Impaled
** Kimbley {{spoiler|after Scar punches through his chest}}.
* Subverted in ''Metal Armor Dragonar'', in which a somewhat minor [[Humongous Mecha]] pilot is shown coughing up blood constantly within the two episodes he is in. However, getting blown up when his giant robot is destroyed is what finally does him in.
* The dying type shows up a few times in ''[[Higurashi no Naku Koro
* Since the demons of ''[[
* ''[[
* ''[[
** Negi gets some blood from the mouth after being impaled by a giant stone spear shortly after returning to the Magic World. He also heavily ''pukes'' blood after getting the complete crap beaten out of him by Rakan in the final match of the tournament. Both times, these are caused by obviously major damage. Both times, ''[[Heroic Resolve|he gets up anyway]]''.
** It happens in a flashback too, when the Mage of the Beginning obliterates Ala Rubra in one hit, most of them have Blood From the Mouth.
** [[Friendly Neighborhood Vampire|Evangeline McDowell]] displays this in an early arc after keeping Negi from [[Taking the Bullet|taking a stalactite]] meant for her. Of course for [[Red Baron|someone called the Undying Mage]], getting a sharp piece of stone marginally less wide than her torso rammed through her gut is a [[Good Thing You Can Heal|transitory irritation]].
* ''[[Mobile Suit Gundam 00
** Happens to Graham Aker every time his [[Mid-Season Upgrade]] (he's had a fairly absurd number of them) surpasses his body's tolerance. The explanation seems to be that the G-forces are messing with his internals. He lives, though.
** Also happens to Sergei Smirnov, after his son "fatally wounds" his mobile suit. He is killed in the ensuing explosion.
* In ''[[
* Though it's more a sign of ''grief'' than death, it happens in ''[[
** Though to be fair, Rezo was likely screwing with him. Having the source of ultimate evil sealed in your soul and all that, maybe he just lied to keep Shabranigdo in check.
** The trope is played straight during the [[Mood Whiplash|more brutal battles]], though. The most noteworthy case is from the same season above when Zelgadis is nearly crushed by the resurrected Rezo-Shabranigdo, causing him to cough up a notable dose of blood.
* ''[[
** Luffy coughs up blood more than once in his fight with Rob Lucci. It's subverted when Luffy not only keeps going after coughing up blood, but [[The Determinator|stands right back up]].
** Usopp pretends to be coughing up blood from previous injuries while fighting Luffy, but uses it to make Luffy hesitate.
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* Happens to [[Haruhi-chan|Haruhi]] while taking story suggestions from the SOS Brigade for their new amateur film. She has to be hospitalized at the end of the sequence.
* In ''[[Saiunkoku Monogatari]]'', Sa Sakujun bleeds copiously enough from the mouth to soak the front of his clothing, even though rather than suffering any internal injuries he is succumbing to a poison he'd taken much earlier in the day. Transferred to Shuurei's lips afterwards.
* In ''[[
* This seems to happen to Allen Walker in nearly every battle of ''[[D
* ''[[The Vision of Escaflowne
** In the first episode, Van is knocked aside by the dragon and rolls a little ways. He then vomits well over a quart of blood. Which is odd, since he survives so much damage during the series that he's clearly [[Made of Iron|some sort of robot]].
** There's also a later time where Van begins coughing up blood, seemingly unprovoked, while the heroes are imprisoned by Zaibach. Rather than a rapid onset of Tuberculosis, it turns out to be because the bad guys have started dismantling the mech he's [[Synchronization|permanently synched to]]. ''Heart first''.
* Happens [http://img268.imageshack.us/img268/7761/inuyashav45168.jpg rather] [http://img264.imageshack.us/img264/9869/inuyashav45169.jpg graphically] to Miroku in ''[[
* This is shown to be a symptom of the virus in the manga ''[[
* Happens at least twice in ''[[Kara no Kyoukai
* ''[[
* Played with in ''[[Darker
** Towards the end of the first season, after November 11 has killed his treacherous boss, he's seen staggering down the street, trying to get call someone on his cell phone. He stops and coughs up blood, and smiles
** Also happens to Havoc earlier in the season when November 11 kills her.
* ''[[
* ''[[
** This happens occasionally. Notable examples include when [[Super OCD|DeathTheKid]] realised he'd had part of his hair cut (makeing it [[Why Did It Have to Be Snakes?|asymetrical]]), Maka after the fight with [[Big Badass Wolf|Free]] on London Bridge, where the blood was black, indicating she was affected by...[[The Corruption|black blood
** In the anime, the [[Weird Moon|moon]] constantly has blood dripping out of the corner of its mouth. [[Trailers Always Lie|Except in the opening]].
* In ''[[
* Alice in ''[[
** Also Ikkyu Soujun in the OVA when Nancy squeezes his heart.
* In the ''[[Love Hina]]'' manga, Keitaro [[Crash Into Hello|crashes into]] [[Cloudcuckoolander|Mutsumi]], knocking her over. Keitaro apologzes, then sees that blood is trickling from her nose and mouth. This, combined with her (temporarily) [[Blank White Eyes]] ([[Fridge Logic|plus the fact that she seems to have no pulse]]) convinces Keitaro and Naru that she has died. Of course, it's really just one of her fainting spells.
* Happens in ''[[
* In ''[[Hellsing]]'', Alucard causes this to happen to Rip Van Winkle when he is killing her.
* In ''[[Kamichama Karin]]'' after Kazune finally [[Heroic RROD|pushes himself too far]] while fighting the [[Big Bad]], he coughs up blood, and then continues bleeding from the nose and mouth for a while afterwards.
* ''Karate Shoukoushi Kohinata Minoru'': During their fight Kevin squeezes Minoru's throat hard enough to make him cough up blood and [[Blood Lust|drinks the blood]].
* Subverted constantly in [[Berserk]]. Whenever Guts takes a massive blow from an enemy, especially if it slams him into the wall or floor, blood pours vigorously from his mouth, and he certainly appears dead most of these occasions. But ''[[Made of Iron|he never dies]].''
* ''[[Black Butler
* In ''[[
* In ''[[Beyblade]]'', blood drips from Kai's mouth when he is battling Brooklyn.
* In ''[[Magical Pokaan]]'', ''[[Friendly Neighborhood Vampires|Pachira]]'' squirts out liters of blood... because she had athletes' foot.
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* Liang Qi in [[Canaan]], as a side effect of failing to give herself Synesthesia.
* Almost everyone in ''[[Claymore]]'' has had blood spurt from their mouths at some point or another. It's usually [[Justified Trope|justified]] by the character having just taken a sword or clawed hand straight through the gut. The blood itself usually isn't indicative of impending death on its own, as [[Good Thing You Can Heal|they can heal massive amounts of damage]].
* In ''[[
* Tsukune from ''[[Rosario
* Happens to Takiko in ''[[Fushigi Yuugi Genbu Kaiden]]'', since she {{spoiler|caught TB after taking care of her mother, who died of the disease.}}
* In the conclusion of ''[[Rebuild of Evangelion]]'' 2.0, {{spoiler|the Tenth Angel impales Unit-01,}} causing Shinji to vomit up a torrent of [[High-Pressure Blood]] due to his high [[Synchronization]] rate. {{spoiler|This is the first hint that ''things'' are going to happen, since it shows that Shinji retains an absurdly high [[Synchronization]] with his Evangelion despite the fact that Unit-01 was impaled ''after'' the power ran out. Now angry, he reactivates the Unit, and an impressive resurgence against the Angel occurs.}}
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** I always assumed it was supposed to be liquified organ goop personally. Not that that is healthier.
** He smokes, right? Might have been chewing on the stub of a cigarette. Chewing tobacco, at least, darkens ones' spit.
* This trope is evoked with the [[Green Lantern
* When Superman-Prime captures Mr. Mxyzptlk and tortures the hell out of him at one point he vomits blood and Prime comments on how disgusting it is.
* [[Jhonen Vasquez]] once made fun of this trope in his deliberately horrible comic, ''The Bad Art Collection.'' A character is wounded and blood comes from the mouth. Paraphrased: "Oh, no! I did a blood burp! That means I'm dying!"
* During the fight between Zeus and The Hulk at one point Zeus punches the Hulk in the stomach and he vomits up a mass of green blood.
* In ''[[
== [[Fan
* Happens to Mercutio in [http://www.fanfiction.net/s/6063565/1/Pattern_Broke this] Romeo and Juliet fanfic.
* A less serious variety happens in [http://www.fanfiction.net/s/5036837/4/Its_A_Grand_Old_Team_to_Play_For this] [[Digimon Adventure]] fanfic in chapter 4. Tai gets kicked in the face during a major soccer match and notices something's wrong when he spits out blood. He's forced to leave the game because of it.
* In the ''[[
* Happens to both Patchouli Knowledge (though she was just badly injured) and Koakuma in the Touhou fanfic [http://flygonmaster122.deviantart.com/art/Scarlet-in-Black-Part-1-295004758 Scarlet in Black]{{Dead link}}'s first part.
* ''[https://www.wattpad.com/story/163260272-astral-journey-it's-complicated Astral Journey: It's Complicated]'', [[Spice Girls]] FanFic, the narrator (Emma) is bleeding from the mouth thanks to what happen. [[Alanis Morissette| Alanis]] is also seen coughing up blood, {{Spoiler|but she gets better.}}
== Film ==
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* The lead characters in ''[[The Sting]]'' have blood coming out of their mouths after a shooting at a racehorse betting counter. The blood, however, and the entire shooting were all staged as part of a [[Xanatos Gambit]], and the characters are perfectly fine and comfortably richer, too.
* In ''[[Lawn Dogs]]'', a man who quite frankly deserves it, is later seen bleeding from the mouth after getting shot in the back by Devon, the 10 year old heroine, who is trying to protect her friend Trent.
* In ''[[The Bucket List]]'', Edward confirms he has cancer when he coughs up blood into a handkerchief.
* In ''[[
* After being impaled by Shelob in ''[[The Lord of the Rings]]'', Frodo starts frothing from the mouth before collapsing.
** Boromir has blood from the mouth when he gets shot by multiple arrows.
* In ''The Silence of the Lambs'' Buffalo Bill coughs up some blood right after Clarice shoots him.
* This is incredibly common in Chinese dramas and action movies, mostly to show that a character has been poisoned or has taken serious damage in the obligatory Kung Fu fight.
* [[Versus]] has this happen basically every time anybody takes a hit. By the end of the movie, they take it a step farther by making the hero's blood acidic.
* Used in the [[Foregone Conclusion]] beginning and ending of ''[[
** [[Blood From The Nose]], more like.
* In [[The Matrix]], bleeding from the mouth signifies severe injury (i.e., falling off a building) or death within the Matrix. Unplugging someone does not make them do this, which makes sense because [[Justified Trope|it kills the mind, but does not cause physical harm]].
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* In ''Saints and Soldiers'', if a character is shot fatally, they get copious amounts of blood in the mouth before they die.
* Strangely, and awesomely, this happens in the new Transformers movie at the end when Optimus Prime totally wipes the floor with the Fallen.
* ''[[Batman
* Naturally shows up a few times in ''Fight Club'', given all the people getting beat across the mouth. Tyler makes particularly disgusting use of the effect to intimidate a guy. Also turned on it's head in the case a bullet-hole in the cheek - does the blood still count if it's not actually come out of the "mouth"?
** [[Inverted Trope|Inverted]] ([[Incredibly Lame Pun|literally]]) with the Narrator's line, "You can swallow a pint of blood before you get sick."
* In ''[[Moon Child]]'', Sho gets this when he is shot by Son. Subverted in that, from the position of the bullethole and difficult breathing, the bullet might have punctured his lung.
* This happens in ''[[Jaws (
* The opening scene from the Drivers' ed film ''Mechanized Death'' features a woman coughing up blood after an accident. Serious nightmare fuel.
* In ''[[The Woman in Black (
* Used to show how badass a secondary character in [[The Last Samurai]] was. In the middle of the climactic battle Ujio is shot in the stomach by a soldier whom he kills after an appropriate stagger. Several other samurai come to help Ujio but he unceremoniously pushes them away, spits out a bright red spray of blood and goes on fighting. It takes the Gatling guns to finally finish him off.
* In the Bollywood film ''Rang de Basanti'', Aslam coughs up blood after he gets beaten up by the police at a demonstration. He gets better.
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* In Jane Campion's ''Bright Star'', Fanny finds out that Keats is ill when she sees blood-stained linen (he's not seen coughing blood at that point, but the implications are pretty clear.)
* In ''[[Das Boot]]'' the lethal version of this happens to the Captain. In the novel, it is explained that he has shrapnel wounds through his back.
* Happens frequently in slasher films, eg in ''[[Scream (
* In ''The Doctor'', William Hurt's title character coughs up blood while leaving a party. This turns out to be the first sign that he has cancer.
* In the movie [[Kiss Kiss Bang Bang]] Perry is shot in the chest. Harry gives him a couple breaths (he probably "learned" CPR from the movies), then pulls away and a stream of blood flows from the corner of Perry's mouth. He got better, though.
* Socko from [[Freaked]]. Despite being a mutant with a sock puppet covering a human hand for a head, he somehow manages to bleed from his 'mouth' as he lies dying from gunshot wounds.
* This happens a couple of times in [[Watership Down]] first when Bigwig gets caught in the snare, then when Blackavar is killed by General Woundwort he coughs up some blood before he dies.
* The short film series ''[[Sockbaby]]'' did this [[Special Effects Failure|hilariously badly]]. Of course, that was [[Camp|the whole point]].
* In [[Batman Begins]], the old man referred to as Ra's al Ghul was bleeding from the mouth after being hit by a pile of logs in a burning building Bruce Wayne and Ra's al Ghul were both in.
* The father from [[The Road]] coughs through most of the movie, but his fate becomes absolutely apparent when he coughs out a large amount of blood near the end.
* Found in [[Red Tails]] Lighting coughs up blood before his death.
* Played straight then subverted in the Korean film [[Thirst]], where a priest volunteers for an almost certainly fatal experiment. As the disease spreads throughout his body, he coughs a huge amount of blood over ([[Squick|and through]]) the pipe that he had been playing. He dies shortly thereafter, but makes a miraculous recovery. Later on, he experiences a sudden resurgence and coughs blood again, but this time doesn't die...well, [[Viral Transformation|not]] [[Not Quite Human|technically]].
* Brilliantly played with in [[Scott Pilgrim vs. the World
* One of Death's victims in the ''[[Final Destination]]'' series starts spitting up blood when she's pulled into an escalator -- [[You Fail Biology Forever|before it even]] [[Nightmare Retardant|reaches her knees]].
* In the ''Undisputed'' films, particularly the sequels, a shot of spewing from someone's mouth as he takes a huge shot to the chin, usually accompanied by the mouthguard flying out, seems to be an almost universal symbol that the fight is done, and the bleeder has lost. It rarely goes more than 30 seconds from that point.
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** A slight difference for Gogo: in her case, the blood comes from her ''eyes''.
* In the first Spiderman movie starring Tobey Macguire, Osbourne does this when he's impaled with his glider.
* In ''[[Black Death (
* In ''[[
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* After repeatedly being thwarted by the genius strategist Zhuge Liang in ''Romance of the Three Kingdoms'', Zhou Yu expires from coughing up blood in rage.
* A few chapters before her demise, the heroine of A Dream of Red Mansions, Lin Tai-yu, does this after learning an unfortunate secret.
* In [[Dan Abnett]]'s ''[[
** Also used straight in the same novel, when a wounded trooper dies while Gaunt is calling for a medic.
** In ''Sabbat Martyr'', while Kolea is lugging Mkvenner to the Saint, Mkvenner's coughs splatter blood. Justified because he suffed from severe internal damage.
** And Rawne coughs up some when a Chaos sorcerer is trying to control him.
* In [[Dan Abnett]]'s ''[[Ravenor]]'' novels, [[Language of Magic|Enucia]] is so horrifically chaos-warped that using it often causes bleeding at the mouth.
* In ''[[Harry Potter and the Deathly Hallows (
* In [[Dan Abnett]]'s [[Warhammer
* [[Older Than They Think]]! In Act V, Scene 2 of [[William Shakespeare|Shakespeare's]] Henry VI, Part 3, as Warwick dies he complains that he cannot speak clearly for all the blood and sticky stuff erupting from his mouth.
* Even older than that. ''[[The Song of Roland]]'' has the titular character blow a horn so hard he gives himself an aneurysm. A stream of blood flies out through the horn, and his brains start leaking from his ears. Roland wanders around a bit more, pays his respects to his fallen, climbs a hill, tries to destroy his sword, ''fails'' and destroys a very large rock instead, [[The Runt At the End|kills one more stray bad guy by bashing him with the horn]], and symbolically faces the land yet to be conquered before the cranial hemmorhaging and displaced brains catch up with him.
* In [[Graham McNeill]]'s [[Warhammer
** In ''Dead Sky Black Sun'', Leonid coughs up blood. While he fights on, it is not much later when he persuades Uriel to [[No One Gets Left Behind|leave him]], because he will only slow them and die.
* In William King's [[Warhammer
** In Lee Lightner's ''Sons of Fenris'', when Jeremiah fights Cadmus, blood from Cadmus's mouth is the sign that he got in a telling
* In [[Dan Abnett]]'s [[Warhammer
* In [[Graham McNeill]]'s [[Warhammer
* In [[James Swallow]]'s [[Warhammer
* In [[James Swallow]]'s [[Warhammer
* A strange subversion happened in a ''[[Doctor Who]]'' [[Eighth Doctor Adventures]] novel: Fitz smokes thirty a day, so maybe it's no huge surprise when he suddenly starts coughing up blood for no reason in particular. The weird thing is that it's [[What Happened to
* Played with in [[Darkness Visible]] - when putting his brain under extreme stress, Lewis bleeds from the nose and the eyes, but not actually from the mouth. The sense of this being a [[Oh Crap|Bad Thing]] remains the same.
* ''[[
** Hawkfrost coughs up clots of blood shortly before he dies at the end of ''Sunset''.
** Tigerstar at the end of the ''Rise of Scourge'' manga.
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* Another example is from [[Star Wars]]: [[Colon Cancer|Dark Lord: The Rise of Darth Vader]] where, after falling from a high position, Roan Shryne coughs blood after he "ruptured a vital organ from the fall."
* In ''[[The House of Night]]'' series, if a fledgeling vampyre gets the [[Incurable Cough of Death]], they will start coughing up blood, then they will die.
* The Spencer Dunmore novel 'Bomb Run' is about the crew of an RAF Lancaster in WWII. One of the gunners is injured by flak and when the others attempt to contact him he tries to speak 'but his mouth was full of blood.'
* Happens to [[Complete Monster|First Mate Cox]] in ''[[Nation]]'' after he takes an axe to the chest, accompanied by a [[Slasher Smile]] [[It Got Worse|and]] [[Everything's Even Worse
* In ''There Is a Happy Land'' by Keith Waterhouse, the [[Nameless Narrative|unidentified narrator]] finds Marian's body in this condition. It's implied that she had an extremely brutal and horrifying death, but the very young narrator [[Innocent Inaccurate|doesn't realise this.]]
* This is one effect of the fictional disease Chimera in the novel ''Gravity'' by Tess Garritsen.
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** It's probably not the first time Mike has done this; before the game starts while Tim is lecturing Mike not to take things too seriously and get himself banned again, one of the things he tells him is "not to eat the paintballs".
* After Archie Kennedy is shot in "Retribution" (the 6th ''[[Horatio Hornblower]]'' TV movie). He lasts long enough to perform a [[Heroic Sacrifice]], however.
** Earlier in the series, this is used after Clayton and Simpson's
* And, providing proof that being a Jamie Bamber fangirl means a hard, hard life, 10 years later [[Law and Order UK]] sent off Matt Devlin in nearly the exact same manner as Archie. The last we see of him on screen in "Deal", he's bleeding from the mouth (and elsewhere); in the beginning of the next episode, "Survivor's Guilt", we are told he died of his wounds.
* This is used literally almost every episode in ''[[Supernatural (TV series)|Supernatural]]''.
** Except, oddly enough, both Dean and Sam's death scenes.
* In the ''[[Lost]]'' season 5 finale, this happens to both Jacob and Juliet.
** And in Season 6 this is what prompts Richard to get some real help for his wife. Instead of saving his wife, he ends up accidentally killing the doctor, Isabella still dies and ''[[It Got Worse]]'' from there on.
* Warrick's death on ''[[
* Lila at the end of [[Dexter]]'s second season.
* Caroline's boyfriend, in ''[[Dollhouse]]''.
* Considering all the deaths in ''[[
* In ''[[Breaking Bad]]'', it demonstrates that Walter's lung cancer is getting worse, convincing him that he needs to make the most of the time he has remaining.
* In ''[[House (TV series)|House]]'' of course, the list of people who don't spew blood is shorter than the list of people who do.
* ''[[
* On ''[[
* At the beginning of Season 15 of ''[[ER]]'', one of the first signs that something is seriously wrong with Greg is when he starts spitting up blood.
* Happens to Clark Kent when Doomsday socks him in the gut repeatedly, although he bounces back and wins. From the [[Smallville]] Season 8 finale.
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* Variation from ''[[The Sopranos]]'': When Christopher starts coughing up blood, Tony decides it's safe to kill him.
* In the eight season of [[Deadliest Catch]], Captain Phil Harris, found himself coughing blood after getting a cracked rib in a nasty storm. It turns out to be from a blood clot in the lung.
* In ''[[
* ''[[
* In ''[[Kamen Rider OOO]]'', the dying Shingo Izumi has blood pouring from his mouth - though he's resurrected via a [[Puppeteer Parasite]] shortly afterwards.
** Later, Akira Date spits up blood after being injured by the Greeed, but he survives ''and'' is far less badly wounded than Shingo was.
* In the last episode of [[Choujin Sentai Jetman]], Radiguet's otherwise-unstoppable [[One-Winged Angel]] form is impaled through a weak spot on its back, and blood starts pouring from the mouth of the human face that's still there on his torso. Ya don't see ''that'' in Power Rangers..
* Chris's death in the second series of the British ''[[Skins]]''.
* From an episode of ''Forensic Files'', where a teenager has killed his father
{{quote|
'''911 Operator''': Okay, where is he?
'''Killer''': He's in the bedroom and the door's locked! I can't get in!
'''911 Operator''': Let me get this straight: [[What an Idiot!|The door is locked but you can see the blood around his mouth...?]] }}
* The Hands of Blue on ''[[Firefly]]'' carry sonic devices that kill people by causing profuse bleeding from the mouth. [[Family-Unfriendly Death|And eyes... and nose... and ears... and fingernails...]]
* The first season of the Australian drama ''[[Underbelly]]'' is ridiculously fond of this trope. Greg Workman, Alfonse Gangitano, Nick The Russian, Mark Moran, Dino Dibra, Paul 'PK' Kallipolitis and Carl Williams all get shot and end up with blood pouring from their mouths. Carl is the only one who survives, but to be fair he's the only one who receives a single bullet wound.
* [[Monty Python's Flying Circus]] - in the 'Church Police' sketch, a husband (Eric Idle) and wife (Terry Jones) bicker over dinner:
{{quote|
'''TJ''': Rabbit!
'''EI''': What, rabbit ''fish''?
'''TJ''': Err, yes. It's got fins.
'''EI''': Is it dead?
'''TJ''': Well, it was coughing up blood last night... }}
* In ''[[Downton Abbey]]'', the farmer suffering from dropsy of the heart.
* Played hilariously [[Up to Eleven]] and [[Crosses the Line Twice]] in ''It's Always Sunny In Philadelphia'' in an episode where Charlie is masquerading as a cowboy with tuberculosis. In order to sell the disguise, he swallows "Like a million of those little blood capsules", hoping to cough up blood and impress the girl he's with. However, he gets sick and proceeds to VOMIT (fake) BLOOD all over her. Bonus points for trying to pass it off as "A touch of consumption".
* In ''[[
* In the chinese drama ''Sword and Fairy'', Ling'er bleeds from the mouth after her [[Heroic Sacrifice]]. Unlike most examples, there is a ''lot'' of blood involved, and it gets messy.
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* In ''[[Breath of Fire|Breath of Fire: Dragon Quarter]]'', after Ryu and Bosch have ended their battle in their D-Dive dragon forms. Bosch, realizing he is defeated and can no longer control his D-Link willingly allows Ryu to finish him off by means of a claw into his chest. As Ryu holds Bosch in the air, Bosch hacks a flurry of blood into Ryu's face and his body goes limp.
** Ryu has a very simillar experience long before that - blood from a mouth and a nightmare face, as Bosch stabbed him before he went "[[Oh Crap]]" as Ryu started to transform.
* The first ''[[
* In ''[[
** In the manga adaptation of ''IV'', Fou-lu has this after his Hex Nuking ''and'' after being [[Back Stab
* In ''[[Prince of Persia]]: The Sands of Tim''e, in the first few cutscenes the Vizier is shown coughing violently, getting blood in his handkerchief. Since he wasn't in a fight beforehand and this has nothing to do with his later death - either of them - it may fall under [[Vader Breath]].
** Actually, this particular case of Blood From the Mouth ''is'' death related. Specifically, the Vizier knew he was dying, which was part of his motivation for finding the Sands, and thus immortality. I'm sure the whole ultimate-god-like-power thing also had something to do with it, though.
* In the [[Sega CD]] game [[Snatcher]], the Benson that turns out not to be a snatcher begins to bleed from the mouth as he says his final words to Gillian. The blood is a modest drip; which is strange considering his injuries are so devastating, that Metal Gear Mk. II can't even get the words out.
* At the end of ''[[The Legend of Zelda: Ocarina of Time
* Used a couple of times in ''[[
* In the ''[[
* In ''[[
* During the period [[Prototype (
* Happens fairly often in ''[[Trauma Center (
* Averted in [[Resident Evil 4]]. Leon and Ashley cough blood throughout the game, but it's hardly a spoiler that neither of them die.
* In ''[[
* This is all over the place in ''[[Vagrant Story]]''. Sydney sports a few pixels of it in the very beginning, courtesy of a crossbow bolt to the lung, and then again toward the end, after Guildenstern has had his way with him. Hardin gets a bad case after Guildenstern (again) stabs him. Neither of the former two take; the latter, however, eventually does.
* In ''[[Tales of the Abyss]]'', a trickle of blood is coming from {{spoiler|Asch's}} mouth as he dies.
* ''[[
* ''[[
== [[Visual Novels]] ==
* In ''[[
* In ''[[Fate/stay
* Terry Fawles in ''[[Phoenix Wright: Ace Attorney]]: Trials and Tribulations'', begins to bleed after poisoning himself in the middle of the court.
* ''[[
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* Seen in ''[[Misfile]]'' in [http://www.misfile.com/index.php?page=1036 this strip].
* In the webcomic ''[[Gnoph]]'', Abbey is constantly coughing up blood as a [[Necessary Drawback|side-effect]] of the symbiote living in her lung. It's actually referred to by its medical name, hemoptysis.
* In ''[[
* In ''[[Hanna Is Not a
* [[
** [https://web.archive.org/web/20130826062148/http://www.mspaintadventures.com/?s=6&p=006500 And a sixth time,] though in this case, it's more a matter of getting conked on the head and spitting out teeth than any kind of serious injury.
* Seen in [[Juathuur]] [https://web.archive.org/web/20190711031615/http://oneway.juathuur.com/1/?strip_id=140 here]. He survives, barely.
* Fairly common so far in [[Shadownova]], despite the comic still being fairly new. So far it seems to be justified in most cases. Karen is impaled on a pointy bit of metal and while Carver and Scruffy both only seem to have light external injuries when you conider that the both crawled out of the wreckage of a destroyed building damage from shockwaves and hits from falling debris isn't really a stretch. In Cam's case it's made obvious it's just a split lip.
* Valeska Köhler in ''[[Panthera]]'', as seen [http://www.pantheracomic.com/?p=1334 here].
* Seen a few times in [[Dominic Deegan]]: Oracle for Hire. In one of the more memorable instances, Szark's infernal wound acts up and causes him to yark blood in his parents' living room. [
* In Mitadake Saga, Koji spits up blood after being stabbed.
* {{spoiler|Page 627}} of [[Haru-Sari]] has {{spoiler|June}} throwing up a LOT of blood.
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== [[Web Original]] ==
* This happens twice in ''[[Broken Saints]]'': the first time to Charles, Bravado, and their men when Shandala gives them a good old [[Emotion Bomb]] mind blast; the second time to Raimi in the [[Grand Finale]].
* A [[YouTube]] video which purports to be a real execution shows a man in the electric chair who starts bleeding from the mouth when the first jolt hits him. Several comments on the video note that the "execution" was, in fact, staged as part of a TV documentary on prison life.
* In the [[YouTube]] phenomenon "Blood", a toddler accidentally hits his infant brother in the face while playing, splitting his lip and causing him to bleed. The toddler becomes extremely distressed upon seeing his brother bleeding, and tries to tell his dad that there's blood on his brother's face. [[Hilarity Ensues]].
* Evan from ''[[Everyman HYBRID]]'' tries to kill [[The Slender Man Mythos|the goddamn Slender Man]] with a [[Batter Up|baseball bat]] in "Ashen Waste". The [[Offscreen Moment of Awesome|screen]] [[Nothing Is Scarier|goes]] [[Noodle Incident|black]], and the next thing we see is him staggering around bleeding from the mouth.
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** More reasonable to assume it's a split lip, or accidentally biting his tongue or cheek hard enough to draw blood when he gets hit, especially since they seem to come more often after blows to the face.
*** That and the fact his mouth is the only visible part of his body. This was even [[Lampshade Hanging|Lampshaded]] at one time in a comic where after fighting Clayface, an unmasked Bruce showed he had received a black eye from their confrontation, (as well as several other bruises around his chest and torso); something that his [[Expressive Mask]] covered up.
* [[Animation Age Ghetto|Amazingly,]] the cosmetic variety is even found in [[The Powerpuff Girls]], in the episode Bubblevicious. [[Genki Girl|Bubbles]] is trying to prove she's [[Badass|hardcore]], and so turns the this-episode-only-training-chamber [[Up to Eleven]]. [[My Name Is Inigo Montoya|After taking a significant beating]] from the simulations (somehow), she has a small trickle of blood running from her mouth (though the lighting purposefully makes this difficult to see), which she wipes off, right before [[Unstoppable Rage|unleashing all hell]] on the simulated monsters. [[Beware the Nice Ones]], [[Took a Level
** In the intro, Him spits out a bunch of teeth and a little blood from a kick in the face from Bubbles, though it could be coming from his nose.
* In an episode of [[Metalocalypse]], Nathan vomits blood after seeing the others vomit. It turns out he has a bad liver and gets it replaced later on.
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* Attila the Hun actually died this way. It's unknown exactly why he died but he was found drowning in his own internal blood.
* [[Truth in Television]] for anyone who's done high school wrestling, in which it's common for wrestlers to be wearing metal braces, and one of the principal moves is the cross-face, which is basically a jab across your opponent's mouth. There are mouth pieces designed to prevent this, but most eschew them because it makes it harder to breathe. Most teams have, during a match, at least one person on duty just to clean up blood from the mat.
* When President [[Ronald Reagan]] was shot in 1981, the Secret Service agents whisking him away didn't immediately know he had been
* When Archduke Franz Ferdinand was shot by Gavrilo Princip at Sarajevo in 1914, the fatal bullet entered the Archduke's neck under his tunic collar, severing his jugular vein and badly damaging his trachea (windpipe) before lodging in his spine. This caused blood to spray out forcefully from his mouth, striking one of his staff officers in the cheek. His wife, Duchess Sophie, saw that and cried out, "For heaven's sake, what's happened to you", before collapsing to the floor of the automobile, the victim of a bullet in the abdomen which caused her death within minutes from massive internal bleeding.
* Several serious lung conditions, including pleural effusion (fluid in the lung cavity) and pneumothorax (air between the lung and the chest wall, collapsing the lung) present with pinkish-red, frothy sputum as a critical sign. When a patient actually bleeds from the mouth, it's usually from ruptured esophageal varices (swollen, fragile blood vessels in the esophagus) in the context of liver failure. Neither situation is anything to laugh off, as you can't breathe with a collapsed lung, and you can lose a major portion of your blood volume from bleeding varices very quickly.
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* Mughal Emperor Shah Jahan I invoked this to avoid an assassination/usurpation attempt by his stepmother Empress Nur Jahan. He faked an illness over a period of about three weeks while various officials of the court visited him. On the morning of day one of the closest to his stepmother visited, he allegedly drank three goblets of goats blood, then vomited it up while the official was with him, faking his death well enough to fool the doctors attending him.
* In real life, if blood comes from the stomach, it's a brown color, and can be mistaken as a large amount of coffee grounds, bearing no resemblance to "common" human blood.
* This often happens to people who tend to get bad nosebleeds. Blood trickles into the throat, and the person spits it out. Also happens to some people who get bad nose-colds that TURN into nosebleeds, due to dehydration, a chapped nose, or other causes.
* When the battleship ''Prince of Wales'' was hit during her duel with the ''Bismarck'', the staff in the combat centre beneath the bridge found blood dripping from the voice-pipes. It was Captain Lynch, the only survivor on the bridge, and ''he got better''.
* A blow to the Adam's apple (AKA that lump on the center of a man's neck) can likely cause internal bleeding and forces the victim to cough out blood. It can be fatal if done with sufficient enough force.
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[[Category:Death Tropes]]
[[Category:Injury Tropes]]
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[[Category:Bloody Tropes]]
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