This doesn’t really hurt…

Phantom Pain [two-actions] Cantrip 1

Cantrip Concentrate Manipulate Mental
Traditions divine, occult
Bloodlines aberrant, hag
Range 60 feet; Targets 1 creature
Defense Will; Duration sustained, up to one minute

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It’s not real. If the target fails a basic Will save, it gains the painful 1 condition. This condition lasts for as long as you use an action to sustain it. The target does not get another save or check to end the effect.h