Jiu-jitsu tournaments – even small, in-house ones – can be a pit of nasty accidents and awful injuries. From concussions to broken noses to torn ACLs to fractured bones, the list of hurts inflicted on competitors is as long as it is horrifying.

But the video below definitely takes the cake.

It’s a small tournament, as evidenced by the surroundings, yet the injury at the end of the video is as awful as they come. Yes, an arm gets snapped. Yes, it looks gross. But the sound it makes… dear Lord. So nasty.

Watch. Then throw up your lunch.