The audio file, titled "031987_Voice Motor Exhibiting Sputtering and Coughing.mp3", starts with a distinct motor-like vocal sound that's not smooth. Instead, it sputters and stutters, akin to an engine struggling to start. The sound effect is realistic, giving the impression of a machine on the verge of breaking down. This is followed by a series of coughing sounds, adding to the overall effect of malfunction or disturbance. The coughing sound effect is harsh and abrupt, contributing to the overall feeling of discomfort and unease. The combination of the sputtering motor and coughing sounds create a unique and jarring auditory experience.