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I think I was(am) very lucky in that I spent my entire Marine Corps career on AmTracs.
I remember one trip from Kin Blue to Kin Red (Okinawa) in an elevated sea state, and that's enough for me. We were passing helmets up through the T/C hatch to be dumped and dipped in the South China Sea for what seemed like an eternity. Heck, even the crew chief at the back hatch blew chunks (once the first guy lost it, things quickly went downhill). Ahh, the sweet memories... 
I had a similar experience near the same location! It was the only time up-chucked in the back of a hog. We were leaving CTA and splashed at Kushi Crossing at night, there were no grunts embarked. It was a platoon op to the MOUT facility they had there. I used my helmet as the LRB (Lunch Review Bag) and although I washed it out the head band still grew green fuzzies by the next time in needed it.
The worst I’ve experienced/witnesses was Somalia. We left the beaches and headed toward a (one of two that decided to cross paths somewhere along the way resulting in the first couple tractors landing on the wrong boat) blacked out ship running as if the Somali navy was after it. After couple tractors went down ashore we had to spread load the grunts across the rest of the platoon. So all the AAVs were packed! And in case anyone was wondering Somalia is freak’n Africa hot!!! As you said earlier, once one person spews, all the taps are open. We got aboard ship, opened the cargo hatches and ramp hatch and that awful aroma of diesel exhaust, week without shower and puke came flowing out. However, the infantry was packed in so tight none of the puke hit the deck – it was all on them thankfully.
