diff --git a/maplestation_modules/code/datums/pain/pain.dm b/maplestation_modules/code/datums/pain/pain.dm
index adbec5845dc3..239acc685580 100644
--- a/maplestation_modules/code/datums/pain/pain.dm
+++ b/maplestation_modules/code/datums/pain/pain.dm
@@ -594,7 +594,7 @@
 			shock_buildup = -200 // requires another 200 ticks / 400 seconds / ~6 minutes of pain to go into shock again
 			return
 
-		var/standard_effect_prob = (curr_pain * 0.05) - 0.75 // starts at 10
+		var/standard_effect_prob = (curr_pain * 0.05) - 0.75 // starts at 15, caps at 4.5
 		var/rare_effect_prob = (curr_pain * 0.04) - 1.5 // starts at 40
 		var/very_rare_effect_prob = (curr_pain * 0.03) - 2.25 // starts at 70
 
@@ -622,7 +622,7 @@
 					options.Add("cry", "scream")
 				do_pain_emote(pick(options), 5 SECONDS)
 
-			if(SPT_PROB(rare_effect_prob, seconds_per_tick) && !parent.IsKnockdown())
+			if(SPT_PROB(rare_effect_prob, seconds_per_tick) && parent.body_position != LYING_DOWN)
 				parent.Knockdown(2 SECONDS * pain_modifier)
 				parent.visible_message(span_warning("[parent] collapses from pain!"))
 
diff --git a/maplestation_modules/code/datums/pain/pain_bodyparts.dm b/maplestation_modules/code/datums/pain/pain_bodyparts.dm
index e827cec5b41a..1f06305dc110 100644
--- a/maplestation_modules/code/datums/pain/pain_bodyparts.dm
+++ b/maplestation_modules/code/datums/pain/pain_bodyparts.dm
@@ -100,20 +100,21 @@
 			owner.flash_pain_overlay(1)
 			feedback_phrases += list("aches", "feels sore", "stings slightly", "tingles", "twinges")
 		if(25 to 50)
-			owner.pain_emote()
 			owner.flash_pain_overlay(1)
 			feedback_phrases += list("hurts", "feels sore", "stings", "throbs", "pangs", "cramps", "feels wrong", "feels loose")
 			if(last_received_pain_type == BURN)
 				feedback_phrases += list("stings to the touch", "burns")
 		if(50 to 65)
-			owner.pain_emote()
+			if(SPT_PROB(4, seconds_per_tick))
+				owner.pain_emote()
 			owner.flash_pain_overlay(2)
 			feedback_phrases += list("really hurts", "is losing feeling", "throbs painfully", "is in agony", "anguishes", "feels broken", "feels terrible")
 			if(last_received_pain_type == BURN)
 				feedback_phrases += list("burns to the touch", "burns", "singes")
 		if(65 to INFINITY)
-			if(SPT_PROB(12, seconds_per_tick))
-				owner.pain_emote("scream")
+			if(SPT_PROB(8, seconds_per_tick))
+				var/bonus_emote = pick(PAIN_EMOTES)
+				owner.pain_emote(pick("groan", "scream", bonus_emote))
 			owner.flash_pain_overlay(2, 2 SECONDS)
 			feedback_phrases += list("is numb from the pain")
 
@@ -152,18 +153,19 @@
 			owner.flash_pain_overlay(1)
 			feedback_phrases += list("aches", "feels sore", "stings slightly", "tingles", "twinges")
 		if(40 to 75)
-			owner.pain_emote()
 			owner.flash_pain_overlay(1, 2 SECONDS)
 			feedback_phrases += list("hurts", "feels sore", "stings", "throbs", "pangs", "cramps", "feels tight")
 			side_feedback += list("Your side hurts", "Your side pangs", "Your ribs hurt", "Your ribs pang", "Your neck stiffs")
 		if(75 to 110)
-			owner.pain_emote()
+			if(SPT_PROB(8, seconds_per_tick))
+				owner.pain_emote()
 			owner.flash_pain_overlay(2, 2 SECONDS)
 			feedback_phrases += list("really hurts", "is losing feeling", "throbs painfully", "stings to the touch", "is in agony", "anguishes", "feels broken", "feels tight")
 			side_feedback += list("You feel a sharp pain in your side", "Your ribs feel broken")
 		if(110 to INFINITY)
-			var/bonus_emote = pick(PAIN_EMOTES)
-			owner.pain_emote(pick("groan", "scream", bonus_emote))
+			if(SPT_PROB(12, seconds_per_tick))
+				var/bonus_emote = pick(PAIN_EMOTES)
+				owner.pain_emote(pick("groan", "scream", bonus_emote))
 			owner.flash_pain_overlay(2, 3 SECONDS)
 			feedback_phrases += list("hurts madly", "is in agony", "is anguishing", "burns to the touch", "feels terrible", "feels constricted")
 			side_feedback += list("You feel your ribs jostle in your [plaintext_zone]")
@@ -190,7 +192,7 @@
 
 	if(amount >= 10)
 		// Large amounts of head pain causes minor brain damage
-		owner.adjustOrganLoss(ORGAN_SLOT_BRAIN, min(pain / 5, 10), 180)
+		owner.adjustOrganLoss(ORGAN_SLOT_BRAIN, min(pain / 5, 10), 50)
 
 	return TRUE