- "What a name. And what a guy. Killing him is almost as bad as letting him live."
- ― Doom II instruction manual.
- Main article: Pain Elemental (Doom RPG)
The Pain Elemental appears in two Doom RPG games as a class of monster. There are three variations, identified by color:
They do not, however, spawn Lost Souls when they attack; only when they are killed. They are particularly weak against attacks from captured Hellhounds.
- A level demonstrating how a Pain Elemental can be resurrected, despite normally never leaving a body behind when it dies, as a ghost monster (file info). Step on button 1 to activate the crusher and wait for the Pain Elemental to die, and then step on button 2 to stop the crusher when it is near the ceiling. After that, step on button 3 to release the arch-vile and witness the resurrection.