Pain and Suffering is the damage you recieve if no valid target is dealing damage to you. It's pretty uncommon. On a technical level, even if Pain and Suffering is some sort of instanced mob, it is almost certainly untargetable, invulnerable, and probably in a GM area, or just floating somewhere you can't reach.
If you did kill it, you may be punished for trying to disrupt the game, so it's probably not a good idea to try anyway. It's not a mob designed to be killed, it's more like a backup for if damage needs to be dealt to you, but the damage isn't caused by any normal damage dealing method.
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