Pain Enhancer is a Legendary Gem in Diablo III. It can only be socketed into Amulets and Rings, and drops from Greater Rift Guardians. This gem causes Critical Hits to apply a Bleed effect to the enemy. Each Critical Hit, regardless of Proc Coefficient, applies one, but they do not stack, only being renewed to full duration. This works even on pets and minions. Upgrading increases total damage done (and damage per second).
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