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Pain Attunement
Keystone
KeystonePainAttunement passive skill icon
30% more Spell Damage when on Low Life [1]
Embrace the pain, drink it in. Your enemies will know your agony tenfold.

Pain Attunement is a keystone passive skill that grants more spell damage when the character is on low life.

Location[ | ]

Pain Attunement is a standalone keystone located on the inner layer of the transition area between Witch and Shadow.

Class Distance from start
Shadow 7
Witch 7
Scion 11
Templar 16
Ranger 17
Duelist 21
Marauder 21

Interactions[ | ]

If using Auras linked to an Arrogance Support, or some other means to reserve at least 50% of your life, you will be counted as on Low life.

If doing the above, your Light radius will be dramatically reduced. The Arcane Vision notable, found directly adjacent to Pain Attunement, counteracts this downside.

Related unique items[ | ]

ItemBase ItemLvl.Stats
Crown of ThornsCrown of Thorns inventory iconCrown of Thorns
Vine Circlet
Quality: +20%
Energy Shield: (79-103)
+(60-80) to maximum Energy Shield
Reflects 5 Physical Damage to Melee Attackers
+5 Physical Damage taken from Attack Hits
Pain Attunement
Lift it lightly, don it slow.
The spikes point out and in, you know.
Crown of Thorns inventory icon
Vine Circlet1+(60-80) to maximum Energy Shield
Reflects 5 Physical Damage to Melee Attackers
+5 Physical Damage taken from Attack Hits
Pain Attunement
Skin of the LordsSkin of the Lords inventory iconSkin of the Lords
Simple Robe
Quality: +20%
Movement Speed: -3%
Item has no level requirement and Energy Shield (Hidden)
Sockets cannot be modified
+1 to Level of Socketed Gems
100% increased Global Defences
You can only Socket Corrupted Gems in this item
Item has 6 Sockets and is fully linked (Hidden)
<Random Keystone>
Corrupted
The Lords are chosen so carefully.
Only they may grace His flesh.
Skin of the Lords inventory icon
Simple Robe1Item has no level requirement and Energy Shield (Hidden)
Sockets cannot be modified
+1 to Level of Socketed Gems
100% increased Global Defences
You can only Socket Corrupted Gems in this item
Item has 6 Sockets and is fully linked (Hidden)
<Random Keystone>
Acrobatics
Ancestral Bond
Arrow Dancing
Avatar of Fire
Blood Magic
Call to Arms
Conduit
Corrupted Soul
Crimson Dance
Doomsday
Eldritch Battery
Elemental Equilibrium
Elemental Equilibrium
Elemental Overload
Elemental Overload
Eternal Youth
Ghost Reaver
Glancing Blows
Hollow Palm Technique
Iron Grip
Iron Reflexes
Mind Over Matter
Minion Instability
Mortal Conviction
Pain Attunement
Perfect Agony
Phase Acrobatics
Point Blank
Resolute Technique
Runebinder
Imbalanced Guard
Supreme Ego
The Agnostic
The Impaler
Unwavering Stance
Vaal Pact
Wicked Ward
Wind Dancer
Zealot's Oath

Corrupted
Martyr's CrownCrown of Thorns inventory iconMartyr's Crown
Vine Circlet
Quality: +20%
Energy Shield: (211-259)
Requires Level 52+(60-80) to maximum Energy Shield
+(110-130) to maximum Energy Shield
Reflects 5 Physical Damage to Melee Attackers
+5 Physical Damage taken from Attack Hits
Pain Attunement
Let it pierce you, let blood flow.
Make more room for the soul to grow.
Crown of Thorns inventory icon
Vine Circlet52+(60-80) to maximum Energy Shield
+(110-130) to maximum Energy Shield
Reflects 5 Physical Damage to Melee Attackers
+5 Physical Damage taken from Attack Hits
Pain Attunement

Version history[ | ]

Version Changes
0.9.9
  • Increased damage bonus from 25% to 30%.
0.9.6
  • Introduced to the game.
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