Pain and Suffering
Increases the damage of Shadow Word: Pain by 8% and increases its duration by 2 sec.
Tree position
In the Discipline Priest talent tree, Pain and Suffering sits in the Discipline specialization talents, row 6 of 11. It takes 2 points to fill. Its row opens once 8 points are spent in Discipline Talents.
Connected above
The tree draws a line into Pain and Suffering from Lenience and Shadow Tap.
LenienceAtonement reduces damage taken by 2%.
Shadow TapMind Blast deals 150% increased damage, but costs 40% more mana.
Connected below
Pain and Suffering leads on to Evangelism and Abyssal Reverie.
EvangelismImmediately Power Word: Radiance your target at 150% effectiveness, and causes your next 2 casts of Power Word: Radiance to be instant cast with 40% reduced mana cost.

Same row
Also on this row: Purge the Wicked, Castigation, Indemnity and Occultist.
Purge the WickedHoly damage increased by 10%.
CastigationPenance fires one additional bolt of holy light over its duration.
IndemnityAtonements granted by Power Word: Shield last an additional 4 sec.
OccultistShadow damage and healing done increased by 15%.
Talent trees
Pain and Suffering is in the talent tree of 3 specializations. Priest: Discipline (Healer), Holy (Healer), Shadow (DPS).
Pain and Suffering Changes by patch
Tracked changes to this talent between game data builds, newest first.
- First tracked in the game data (patch 12.1.0)