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The Pain Elemental is a class of monster and its highest form seen in Doom RPG. It is based on the original Pain Elemental. They are first seen in Sector 7. Killing one releases two Nightmares.

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.