'gouty' originates from English, formed from the noun 'gout' + the adjectival suffix '-y'. The noun 'gout' ultimately comes from Old French 'goute', itself from Latin 'gutta' meaning 'a drop'.

'gouty' developed in English by adding '-y' to the modern English word 'gout'. The word 'gout' entered Middle English as 'goute' from Old French 'goute', which derived from Latin 'gutta'.

Initially the Latin 'gutta' meant 'a drop' (linked to ancient humoral theories where disease came from drops of bodily fluids); over time the term came to designate the disease 'gout', and 'gouty' came to mean 'affected by gout'.