Usually means: Unpleasant sound of retching, vomiting.
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We found 9 dictionaries that define the word gack:

General (5 matching dictionaries)
  1. gack: Oxford Learner's Dictionaries
  2. Gack, gack: Wordnik
  3. gack: Wiktionary
  4. gack: Dictionary.com
  5. Gack: Rhymezone

Miscellaneous (1 matching dictionary)
  1. gack (interj.): Cats

Slang (2 matching dictionaries)
  1. gack, gack, gack: Green’s Dictionary of Slang
  2. GACK, Gack, g'ack, gack: Urban Dictionary

Tech (1 matching dictionary)
  1. Rane Professional Audio Reference (No longer online)

Definitions from Wiktionary (gack)

verb:  (intransitive) To make a sharp, sudden sound in one's throat, such as before vomiting or while coughing, gagging, etc.
verb:  To do something that causes a sharp, sudden sound in one's throat.
verb:  (intransitive) To vomit, throw up.
verb:  (transitive) To cough something up.
verb:  (intransitive) To choke (be unable to breathe because of obstruction of the windpipe)
verb:  (intransitive) To choke (experience tightness in one's throat as a result of strong emotion)
noun:  (slang) Crystal meth.
noun:  (slang) Powder cocaine.
verb:  (of a bird) To call in response to disturbance.

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