Pain Attunement

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 upper right edge of the skill tree.

Class	Distance from start
Shadow	11
Witch	11
Scion	15
Ranger	15
Templar	20
Duelist	22
Marauder	25

Item modifier

These unique items have the Pain Attunement modifier, which provides the same effect as this keystone. Taking the keystone in addition to equipping one of these items will impart no additional benefit.

• Crown of ThornsCrown of Thorns
  Vine CircletEnergy Shield: (157-235)+(150-225) to maximum Energy Shield
  Reflects 5 Physical Damage to Melee Attackers
  +25 Physical Damage taken from Attack Hits
  Pain AttunementLift it lightly, don it slow.
  The spikes point out and in, you know.
• Martyr's CrownMartyr's Crown
  Vine CircletEnergy Shield: (267-365)Requires Level 52+(150-225) to maximum Energy Shield
  +(110-130) to maximum Energy Shield
  Reflects 5 Physical Damage to Melee Attackers
  +25 Physical Damage taken from Attack Hits
  Pain AttunementLet it pierce you, let blood flow.
  Make more room for the soul to grow.