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Psychogenic vomiting is often diagnosed in the absence of medical, psychiatric, or other conditions. Although functional gastrointestinal disorders are now an established entity, still psychogenic vomiting has its place as a temporary diagnosis till a more definitive diagnosis emerges, particularly during the developmental period. The usefulness of psychogenic vomiting is illustrated by four interrelated pediatric cases as a forerunner of formed psychopathology or as an epiphenomenon of significant psychosocial issues. Hence, psychogenic vomiting can be advocated to have a more prominent place in nosology in the coming years.