I think it might be the worst*, especially if you get some nose action going on. Even worse than orange juice. I don't know why I still eat tomato sauce-containing dishes, because this happens every time. Oh yeah, I remember why: it's fucking delicious on the way down.
*Worst not counting things like popcorn that are problematic to vomit for their own unique reasons. With popcorn, the thin skins of the kernels get stuck in your throat and in your nasal cavity, causing additional discomfort or hacking and gagging. Tomato sauce sucks because the spices in it aggravate the nose on direct content and there is high acidic content in the sauce itself, and combined with stomach acid and bile, it's way too much and too nasty.
I can only hope I die soon
