A “Pain Scale” chart illustrated with six cartoon elf faces, each wearing a green-and-red elf hat and collar. The expressions progress from happy to distressed as the pain level increases.

* **No Pain:** The elf is smiling widely, eyes relaxed and cheerful.
* **Mild Pain:** The elf looks slightly uncomfortable, with a small frown and mildly furrowed eyebrows.
* **Moderate Pain:** The elf shows more tension—eyebrows drawn inward and lips tight.
* **Severe Pain:** The elf clutches both sides of their face, eyes shut tightly, mouth open in a cry.
* **Very Severe Pain:** The elf’s eyes squeeze shut with strain, eyebrows sharply angled, mouth grimacing.
* **Worst Pain Possible:** The elf is screaming with mouth wide open, one hand reaching forward, small tear-like shapes near the face showing extreme distress.

The tri-blend fabric creates a vintage, fitted look. And extreme durability makes this t-shirt withstand repeated washings and still remain super comfortable.

• 50% polyester, 25% combed ring-spun cotton, 25% rayon
• Fabric weight: 3.4 oz/yd² (115.3 g/m²)
• Pre-shrunk for extra durability
• 40 singles
• Regular fit
• Side-seamed construction
• Blank product sourced from Guatemala, Nicaragua, Honduras, or the US

This product is made especially for you as soon as you place an order, which is why it takes us a bit longer to deliver it to you. Making products on demand instead of in bulk helps reduce overproduction, so thank you for making thoughtful purchasing decisions!