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 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
The low life threshold can be met using 
Petrified BloodPetrified BloodSpell
Level: (1-20)
Reservation: 35% Mana
Cooldown Time: 1.00 sec
Can Store 1 Use(s)
Cast Time: InstantRequires Level 24Applies a buff that protects the lower half of your life, preventing some of the immediate life loss when damaged by hits and applying the loss over time instead. Your life cannot be raised above low life other than by flasks, and while above low life, skills will cost life as well as mana.Life Recovery other than Flasks cannot Recover Life to above Low Life
When taking Damage from Hits, 40% of Life loss below half Life is Prevented, then (100-81)% of Life loss prevented this way is lost over 4 seconds
Skills gain a Base Life Cost equal to 40% of Base Mana Cost while not on Low Life
Additional Effects From 1-20% Quality:
-(0.25-5)% of Life loss prevented is lost over 4 secondsPlace into an item socket of the right colour to gain this skill. Right click to remove from a socket.
, reserving life via 
Arrogance SupportArrogance SupportAura, Support
Icon: B
Level: (1-20)
Cost & Reservation Multiplier: (220-201)%Requires Level 31Supports any non-blessing skill with a reservation.Supported Skills have (10-19)% increased Aura effect
Supported Skills Reserve Life instead of Mana
Additional Effects From 1-20% Quality:
Supported Skills have (0.25-5)% increased Aura effectThis is a Support Gem. It does not grant a bonus to your character, but to skills in sockets connected to it. Place into an item socket connected to a socket containing the Skill Gem you wish to augment. Right click to remove from a socket.
, or equipping a 
Coward's LegacyCoward's Legacy
Chain BeltRequires Level 52+(9-20) to maximum Energy Shield+(15-20) to all Attributes
(5-10)% increased Movement Speed
50% increased Effect of Curses on you
You count as on Low Life while you are Cursed with Vulnerability
You are Cursed with VulnerabilityDeath is your most important duty.
Face it, or curse your bloodline for all eternity.
.
If doing the above, your Light radius will be dramatically reduced. You can counteract this using the Energy Shield Mastery that grants Light Radius is based on Energy Shield instead of Life.
Related unique items
| Item | Base Item |  | Stats | ||
|---|---|---|---|---|---|
Crown of Thorns Crown of ThornsVine 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.  | Vine Circlet | 1 | +(150-225) to maximum Energy Shield Reflects 5 Physical Damage to Melee Attackers +25 Physical Damage taken from Attack Hits Pain Attunement | ||
Skin of the Lords Skin of the LordsSimple RobeMovement Speed: -3%Item has no level requirement and Energy Shield (Hidden) Sockets cannot be modified +2 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>CorruptedThe Lords are chosen so carefully. Only they may grace His flesh.  | Simple Robe | 1 | Item has no level requirement and Energy Shield (Hidden) Sockets cannot be modified +2 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)
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Version history
| Version | Changes |
|---|---|
| 0.9.9 |
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| 0.9.6 |
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