It inflicts pain.
Buffs
- Pain damage: Grants additional damage the lower your health, which grants a minimum of +10 damage, and a maximum of +20
| Buffs/Debuffs |
|---|

Effects by finger slot
Slots are numbered 1 to 8 as in the guide's hand diagram (see Rings). These were recorded in mid-2024, and later updates may have changed some effects.
| Slot | Effects |
|---|---|
| 1 | Pain damage (less health means more damage) |
| 2 | Pain damage |
| 3 | Damage up |
| 4 | Damage up |
| 5 | Damage up |
| 6 | Damage up |
| 7 | Pain damage |
| 8 | Pain damage |
- A strategy guide says to wear it only on the thumbs and index fingers of either hand.
- This is one player's strategy guide, so the finger advice is their recommendation rather than a full effect table. It names fingers directly, where the Rings and Fingers guide uses numbered slots; the two have not been reconciled against each other.
Community-sourced (added October 2026, not yet verified in-game). Sources: Rings and Fingers guide (Steam, mirrored at SteamAH, June 2024); Steam guide: How easly win almost all your runs by GettyX.