I just randomly caught a movie on Showtime's Showcase channel called Crimen Ferpecto. It was kind of a modern Spanish Weekend at Bernie's mixed with Career Opportunities, but more engaging than you'd expect from that combo.
A ladies man gets payback after semi-accidentally killing a coworker, which is witnessed by an "ugly" shop girl who blackmails him into all sorts of self-serving scenarios. After she hacks up the dead body for the squeamish protagonist, he throws up.
Frumpy Shop Girl: "Are you ill?"
Don Juan: "No, I just get excited watching you work."
Clearly, emotionally based barfing isn't exclusive to Americans.