Pain and Suffering Hurts So Bad Hot Sauce (5 FL. OZ. / 148 ml): How hot can you take it? Step right up if you think you can handle it. This naughty little sauce is going to hurt you with the pleasure of an endorphin rush, a kind of chile pepper buzz or something like that. First there's the pain and then there's more pain. You got to have it. Ingredients: Cayenne Pepper, Water, Salt, Acetic Acid, Oleoresin Cayenne, Starch, and Caramel Color. Brand: Pain and Suffering Hot Sauces