A hand clamps around a girl’s throat during sex, squeezing hard enough that she’s gagging, drooling, or gasping for air while she gets fucked. Panels usually linger on the grip marks, bulging eyes, and ahegao faces, with the throat-hold used to show dominance and rough control as her body squirms. It often pairs with deep kissing, blowjob scenes, or forced positions where she can’t pull away.