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Lisa The Painful : RPG 

A life ruining gaming experience, where you lose your party members, via permadeath, or due to your decisions, and maybe more don't wanna spoil it.
Person A : Aw hell, i'm being forced to russian roulette for my party members lives! I wonder what could go wron-
Party member gets perma-killed.
Person B : Well that's Lisa The Painful : RPG for you.

Genuinely painful understanding 

An understanding of a concept so strong that you have a disturbing understanding of it, no no no you don't get it like I mean someone can still know about it, but not know as much as you do, usually in a depressing "oh godi get it now" sort of manner, the more of this painful knowledge is amassed the worse ones mind becomes.
gary: oh god i understand.

larry: why what?

gary: the full saying isn't blood is thicker than water.

larry: what do you mean

gary: its "the blood of the covenant is thicker then the water of the womb"

larry: and that bad because?

gary: everyone thinks that blood relatives are more important

than friends because some fucker wouldn't say the full thing.

larry: oh god.

gary: this is a Genuinely painful understanding of the world as i know it.

The painful parrot 

Basically any sex position can be used but anytime your partner says anything you repeat it in a parrot voice then slap your partner in the face... That also applies for your partners exclamation of pain and their repeated pleas for you to stop slapping them
Sketch: My girl said she wanted to try something new so I surprised her with the painful parrot.

Jeremy: How did that go?

Sketch: I'm now single.

PMS ( painful memory syndrom) 

painful memory syndrome : When someone does or says something that reminds you of a very painful memory causing you to have PMS (painful memory syndrome)
Don't talk about streaking...that makes me think of the time we saw those old guys naked...ugh talk about "PMS ( painful memory syndrom)"

make it painful 

what you say before you get raped, in hopes of jinxing the rapist, usually said in prisons.
the satisfier: you really for some tough anal lovin boy?

duke: make it painful.

Extreme aggressive painful screaming torturous violent agonizing screeching long ass tennis match 

Yo I just came back from an Extreme aggressive painful screaming torturous violent agonizing screeching long ass tennis match