| Level | Ability | Skill | Mana | Range | School | Cost |
|---|
|
| | | | 50000 yds | Shadow | |
|  | Pain and Suffering | | Mind Blast, Mind Spike, and Mind Flay refresh the duration of your one of your Shadow Word: Pain, Void Plague, or Vampiric Touch abilities on the target back to its maximum duration. The ability with the shortest remaining duration will always be the one refreshed. |
| Pain and Suffering | | | |
| | | | Physical | |
| 1 | | Pain and Suffering | Gain the Pain and Suffering ability:
Mind Blast, Mind Spike, and Mind Flay refresh the duration of your one of your Shadow Word: Pain, Void Plague, or Vampiric Touch abilities on the target back to its maximum duration. The ability with the shortest remaining duration will always be the one refreshed. |
| Pain and Suffering | | | |
| | | | Physical | |
| 1 |  | Engrave Helm - Pain and Suffering | | 3 sec cast | Engrave your helm with the Pain and Suffering rune:
Mind Blast, Mind Spike, and Mind Flay refresh the duration of your one of your Shadow Word: Pain, Void Plague, or Vampiric Touch abilities on the target back to its maximum duration. The ability with the shortest remaining duration will always be the one refreshed. |
| Engrave Helm - Pain and Suffering | | | |
| | | | Physical | |
| 1 | | | | | Physical | |
| 1 |  | Soul of the Plaguebringer | | 3 sec cast | Permanently imbue your shoulders with the Soul of the Plaguebringer:
Your Pain and Suffering rune can now refresh the duration of Devouring Plague. |
| Soul of the Plaguebringer | | | |
| | | | Physical | |
| 1 |  | Soul of the Plaguebringer | | Your Pain and Suffering rune can now refresh the duration of Devouring Plague. |
| Soul of the Plaguebringer | | | |
| | | | Physical | |
