Effect details Dreadful Pain Campaign: Nightfall Type: Environment Effect Players take 20 damage when they activate a skill. Notes This Environmental Effect is found throughout the Gate of Pain mission and Domain of Pain area. The damage is applied before a monk's divine favor bonus. The damage is applied after successfully activating skills. Retrieved from "https://guildwars.fandom.com/wiki/Dreadful_Pain?oldid=1603376" Categories: Domain of PainNightfall effectsEnvironment Effects Community content is available under CC-BY-NC-SA unless otherwise noted.