He was covering his ears as if shielding them from painful sounds.

Then there was the painful sound of the iron gate opening on hinges that needed oil.

Because the sobbing was suddenly loud, full of small, awful, painful sounds.

And he was aware of the painful sound of it.

And then with a massive, painful sound, someone pounded the metal.

After a few seconds, a harsh voice replaced the painful sound.

She laughed but it was a strained, painful sound.

He heard Pasithea still coughing behind him, a hard, painful sound.

"I know you," said the Shaman, his voice a harsh, almost painful sound.

He made a harsh, painful sound that was supposed to be a laugh.