Usually features two female models who face off in multiple rounds.

In an Elite Pain duel, the mental game is just as critical as physical execution. Competitors must maintain a "flow state" while managing the mounting pressure of the 5-3L framework. Analysts have noted that the winners of these duels aren't necessarily the strongest, but those with the highest —the ability to make split-second decisions while fatigued. Impact on the Scene

Kaelen swung wildly, but Jax was no longer there. A series of high-frequency vibrations rocked Kaelen’s chassis. Jax was hitting the same spot on Kaelen’s spinal connector, over and over, dozens of times a second.