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So intense and painful that a normal "ouch" will not suffice.
"Dude! That guy just got kicked in the balls!"
"Oucher!"
oucher by Mr. Munroe October 28, 2009
Related Words

Eau d'ouche 

The obnoxious, headache-inducing cologne cloud that surrounds a beefy, tight-Armani-shirt wearing dude.
Ugh. Some big meathead just walked by wearing way too much eau d'ouche. I feel like I'm gonna puke.
Eau d'ouche by ashenannigans July 10, 2010
Literrally means "out here" not to be confused with "outcha" which means "out of you"... or "from you" Also can be used to define an action such as "leaving" or "going away"
"We outchea in front of the club ready to go in"

"It's 11:30, its time for us to go, we outchea"
outchea by Guy in Virginia December 8, 2009

ouchcabibble 

In Austin Powers 3, Foxxy uses a 'cat' as a distraction to talk to Austin in Studio 69.
Foxxy says, "First things first, (slap)"
Austin: "Ohhh!!! OUCHCABIBBLE!!"
Foxxy: "Eight years and no phone calls! Nobody stands up Foxxy Cleapatra Where have you been??!!"
ouchcabibble by Toren August 16, 2007
Slang for "out here". Commonly used by rappers from southern backround.
We Ouchere in these streets making relatable music.
Ouchere by Goku Rosé July 30, 2018

Ouchrageous 

The combination of pain, shock, and outrage you feel when you are caught off guard by some sort of disturbing information.
Oh my god the bill for dinner is ouchrageous!
Ouchrageous by Patrick H. Thompson January 12, 2008