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* In ''Film/EverythingEverywhereAllAtOnce'', activating universe shifts and accessing the abilities of your other selves is done by taking "statistically highly improbable" actions. This involves doing something uncomfortable at best or downright harmful at best, such as giving yourself a bunch of really awful papercuts between your fingers or using a stapler on your own forehead.

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* In ''Film/EverythingEverywhereAllAtOnce'', activating universe shifts and accessing the abilities of your other selves is done by taking "statistically highly improbable" actions. This involves doing something uncomfortable at best or downright harmful at best, worst, such as giving yourself a bunch of really awful papercuts between your fingers or using a stapler on your own forehead.
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** Ninja activate magic scrolls by biting or cutting the skin at the tip of their finger (usually the thumb) and touching it to the scroll because they require the user's blood to activate.

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** Ninja activate magic scrolls by biting or cutting the skin at the tip of their finger (usually the thumb) and touching it to the scroll because they require the user's blood to activate. Summoning techniques require the same blood offering, with the caster placing their bloodied hand on the ground to perform the jutsu.
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I'm not 100% if this counts or not. Feel free to delete it if it doesn't quite fit the trope.

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* ''Manga/OnePiece'': Plays with this trope a little bit with Luffy's Third and Fourth Gear modes, as the self-harm isn't quite what activates it but it is needed to activate them. To activate Third Gear, Luffy bites into his thumb and then blows air into his own bones. With Fourth Gear, Luffy bites into his arm instead and then similarly inflates his musculature structure instead.
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* In ''Franchise/FinalFantasy'', starting with ''VideoGame/FinalFantasyIV'', the signature move of the Dark Knight is Dark Wave or Darkness, a CastFromHitpoints move with effects that vary from game to game. Some send a wave of darkness across the field that damages all enemies, while others enchant his blade and give it dark-elemental increased damage.
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* ''VideoGame/Borderlands2'' has Captain Blade's gear from the ''Captain Scarlett and Her Pirate's Booty'' DLC. Each of them has a benefit, but also an ailing that would make said Relic useless, unless coupled with other gear that countered said ailing:
** The "Captain Blade's Manly Man" shield grants bonus explosive damage to melee attacks at the cost of making the wearer more vulnerable to elemental attacks.
** The "Captain Blade's Otto Idol" relic grants health restoration upon killing an enemy, but reduces "Fight For Your Life" time, making the wearer more prone to respawning.
** The "Captain Blade's Midnight Star" MIRV grenade mod has increased damage, but all the child grenades are thrown towards its user.
** The "Captain Blade's Orphan Maker" shotgun deals a lot of damage, but [[CastFromHitPoints also damages its user by 5% of all damage dealt]].
** The "Captain Blade's Rapier" assault rifle increases melee damage, but also increases the user's vulnerability to melee damage as well.


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* ''VideoGame/{{Starcraft}}'' has the Terran Marines and their Stimpack ability. The ability increases the overall power of the Marines [[CastFromHitPoints at the cost of some HP]]. In the original 1998 game, prior to the introduction of the Terran Medics in the ExpansionPack ''Brood War'', there was no way to heal back Marines who used the pack, so it was relegated to very situational uses. The introduction of the Medics allowed the Marines to benefit from the effects of Stimpack while getting healed.
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* ''VideoGame/DarkestDungeon:'' The Flagellant is built around this trope. His self-harm essentially gives him the gift of [[BloodMagic haemomancy]], which he can use as either an offensive front ranker or a sacrificial healer. He actually exploits this trope in ''VideoGame/DarkestDungeonII''; his abilities wind up allowing him to fight off [[TheGrimReaper Death herself]] and become a [[TechnicallyLivingZombie walking septic corpse]].
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removed a repetitive clause


Superpowers are awesome; however, many writers tend to give said powers some sort of [[PowerAtAPrice tradeoff]] or necessitate an unconventional way of triggering them in order to keep things interesting. One way to do this is to require someone to injure themselves or directly inflict self-damage in order to use/activate their powers. This makes it so one may only use their powers out of desperation; after all, if someone is willing to hurt themselves in order to gain power every time, then surely they mean business, and requiring injury could prevent the powers from being used too liberally. Perhaps the abilities are fueled via ThePowerOfHate or UnstoppableRage, and injuring oneself is the easiest way to fill oneself with the necessary emotions. It could also hint at some darker or sinister nature behind said powers ([[BadPowersGoodPeople though not necessarily the people using them]]), since they require a literal flesh and/or blood sacrifice in order to use.

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Superpowers are awesome; however, many writers tend to give said powers some sort of [[PowerAtAPrice tradeoff]] or necessitate an unconventional way of triggering them in order to keep things interesting. One way to do this is to require someone to injure themselves or directly inflict self-damage in order to use/activate their powers. This makes it so one may only use their powers out of desperation; after all, if someone is willing to hurt themselves in order to gain power every time, then surely they mean business, and requiring injury could prevent the powers from being used too liberally. Perhaps the abilities are fueled via ThePowerOfHate or UnstoppableRage, and injuring oneself is the easiest way to fill oneself with the necessary emotions. It could also hint at some darker or sinister nature behind said powers ([[BadPowersGoodPeople though not necessarily the people using them]]), since they require a literal flesh and/or blood sacrifice in order to use.
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** Chetney Pock O'Pea from Campaign 3 as a fellow Blood Hunter uses some of the same abilities. But as a Lycan Blood Hunter most of the focus is placed on his [[VoluntaryShapeshifting transformation]] into a werewolf, often described like ripping off his skin to reveal the beast within. Though usually played for BlackComedy rather than horror.

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* ''VideoGame/MetalGearRisingRevengeance'':
** Ripper Mode is unlocked when Raiden is pierced by a sword and decides to disable pain inhibition in his cyborg body.

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* ''VideoGame/MetalGearRisingRevengeance'':
**
''VideoGame/MetalGearRisingRevengeance'': [[SuperpoweredEvilSide Ripper Mode Mode]] is unlocked when Raiden is pierced by a sword and decides to disable [[FeelNoPain pain inhibition inhibition]] in his cyborg {{cyborg}} body.

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* ''ComicBook/CivilWar2006'': The trigger for the creation of the Superhuman Registration Act that would become the cornerstone of the conflict is the rash actions of the ComicBook/NewWarriors, who attacked a group of villains hiding out and triggered an explosion that killed hundreds of civilians (including a large number of children). The SoleSurvivor is Speedball, whose power is based on kinetic energy. After the explosion, he learns that his powers are now activated by pain and so fashions a new suit with [[DeliberatelyPainfulClothing sharp spikes fastened on the inside]] (so almost every move he makes will draw blood), renaming himself [[ThePenance "Penance"]]. It's one of the more infamous examples of {{Wangst}} in modern comics.

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* ''ComicBook/CivilWar2006'': The trigger for the creation of the Superhuman Registration Act that would become the cornerstone of the conflict is the rash actions of the ComicBook/NewWarriors, who attacked a group of villains hiding out and triggered an explosion that killed hundreds of civilians (including a large number of children). The SoleSurvivor is Speedball, whose power is based on kinetic energy. After the explosion, he learns that his powers are now activated by pain and so fashions a new suit with [[DeliberatelyPainfulClothing sharp spikes fastened on the inside]] (so almost every move he makes will draw blood), renaming himself [[ThePenance "Penance"]]. It's one of the more infamous examples of {{Wangst}} in modern comics.comics and why he got the FanNickname of "Bleedball".


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* ''ComicBook/MaximumCarnage'' reveals that Carnage's symbiote got into his bloodstream somehow during his previous fight with Spider-Man and Venom. As a result, if he's ever separated from the symbiote or it gets destroyed, he'll immediately grow a new one if he gets cut, whether he does it to himself or someone else cuts him. As he was a psychotic serial killer before bonding with the symbiote, he has no problems cutting himself to activate his powers though he rarely needs to.
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* ''Anime/DarkerThanBlack'': Every Contractor has a specific Remuneration that they're compelled to perform after using their powers. The GravityMaster Louis has to [[{{Fingore}} break his own fingers]]. November 11 sees his remuneration as this trope: he's a [[StraightEdgeEvil straight-edge villain]] who has to smoke cigarettes.

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* ''Anime/DarkerThanBlack'': Every Contractor has a specific Remuneration that they're compelled to perform after using their powers. The GravityMaster Louis has to [[{{Fingore}} break his own fingers]]. November 11 sees his remuneration as this trope: he's a [[StraightEdgeEvil straight-edge villain]] who has to smoke cigarettes. The contractor Wei is the most overt example in the show: [[BloodyMurder His power is to disintegrate anything he's spilled his own blood on]], and thus his combat style involves intentionally cutting his hands and wrists and using hand movements to flick blood at his opponents.
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Update to some of the entries 2


* ''Manga/JojosBizarreAdventureStoneOcean'': The Stand called Highway To Hell inflicts any lethal damage done to the User on another person in proximity. [[BigBad Father Pucci]] used Whitesnake to impart its Stand DISC onto [[VillainOfTheWeek Thunder McQueen]], a clinically depressed, pathologically suicidal inmate who takes every chance he gets to kill himself such as by hanging with a belt, drowning in a bathroom sink, and even electrocuting himself. Several times, McQueen comes close to committing an unorthodox murder-suicide on Ermes Costello as a result.

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* ''Manga/JojosBizarreAdventureStoneOcean'': The Stand called Highway To Hell inflicts any lethal damage done to the User on another person in proximity. [[BigBad Father Pucci]] used Whitesnake to impart its Stand DISC onto [[VillainOfTheWeek Thunder McQueen]], a clinically depressed, pathologically suicidal inmate who takes every chance he gets to kill himself such as by hanging with a belt, drowning in a bathroom sink, and even electrocuting himself. Several times, McQueen [=McQueen=] comes close to committing an unorthodox murder-suicide on Ermes Costello as a result.
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Update to some of the entries


* ''Manga/JojosBizarreAdventureStoneOcean'': One of the Stands [[BigBad Pucci]] keeps as a disk is Highway To Hell, which allows its user to attack opponents by injuring themself. The Stand's recipient, [[VillainOfTheWeek Thunder McQueen]], then tries to kill himself, thus taking down his target with him.

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* ''Manga/JojosBizarreAdventureStoneOcean'': One of the Stands [[BigBad Pucci]] keeps as a disk is The Stand called Highway To Hell, which allows Hell inflicts any lethal damage done to the User on another person in proximity. [[BigBad Father Pucci]] used Whitesnake to impart its user to attack opponents by injuring themself. The Stand's recipient, Stand DISC onto [[VillainOfTheWeek Thunder McQueen]], then tries a clinically depressed, pathologically suicidal inmate who takes every chance he gets to kill himself, thus taking down his target himself such as by hanging with him. a belt, drowning in a bathroom sink, and even electrocuting himself. Several times, McQueen comes close to committing an unorthodox murder-suicide on Ermes Costello as a result.
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That's not self-harm. That's just a Desperation Attack.


** Many meta-strategies also invoke this, such as putting a Toxic/Fire Orb on a Guts Pokémon to force a status ailment on it and get the attack-buff, or having a Fighting Pokémon learn Reversal, which does more damage the less HP the user has.

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** Many meta-strategies also invoke this, such as putting a Toxic/Fire Orb on a Guts Pokémon to force a status ailment on it and get the attack-buff, or having a Fighting Pokémon learn Reversal, which does more damage the less HP the user has.attack-buff.
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* ''VideoGame/MetalGearRisingRevengeance'':
** Ripper Mode is unlocked when Raiden is pierced by a sword and decides to disable pain inhibition in his cyborg body.
Is there an issue? Send a MessageReason:
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SubTrope of PowerAtAPrice and SelfHarm. Compare BloodMagic, where spilling blood, especially if it's the user's own blood, is used to work magic. May overlap with TraumaticSuperpowerAwakening, though not necessarily if the injury or trauma is only required to use or activate the power for the very first time. Can overlap with CursedWithAwesome or BlessedWithSuck. In games, it is often [[GameplayAndStoryIntegration integrated into the game mechanics]] via CastFromHitPoints. Often pairs well with HealingFactor so the injuries don't catch up to you in the long run. Compare PainfulTransformation, for a power (shapeshifting) that is itself painful rather than being triggered by pain, and SelfMutilationDemonstration, for a power (immortality) that can be demonstrated by self-harm but is not reliant on it.

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SubTrope of PowerAtAPrice and SelfHarm. Compare BloodMagic, where spilling blood, especially if it's the user's own blood, is used to work magic. May overlap with TraumaticSuperpowerAwakening, though not necessarily if the injury or trauma is only required to use or activate the power for the very first time. Can overlap with CursedWithAwesome or BlessedWithSuck. In games, it is often [[GameplayAndStoryIntegration integrated into the game mechanics]] via CastFromHitPoints. Often pairs well with HealingFactor so the injuries don't catch up to you in the long run. Compare PainfulTransformation, for a power (shapeshifting) that is itself painful rather than being triggered by pain, and SelfMutilationDemonstration, for a power (immortality) that can be demonstrated by self-harm but is not reliant on it. Compare HydraProblem, another power activated by injury, self inflicted or not.
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* ''Manga/SoulEater'': Crona has to bleed to use his Black Blood [[BloodyMurder as a weapon]].

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* ''Manga/SoulEater'': Crona has to bleed to use his their Black Blood [[BloodyMurder as a weapon]].

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Razor blade deals one full heart of damage per use barring ownership of the wafer. Repentance makes it only take half a heart if it's used again in the same room, but still.


* ''VideoGame/TheBindingOfIsaac'': The Razor Blade is an item that grants a power boost for the room, provided that Isaac harms himself and give up half a heart of red health to the item.

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* ''VideoGame/TheBindingOfIsaac'': The Razor Blade is an item that grants a power boost for the room, provided that Isaac harms himself and give gives up half at least a heart of red health to the item.item. The Blood Rights item takes the same price, but deals room-wide damage instead.
** Eve can start with the razor, and she also gains multiple offensive bonuses from Whore of Babylon should she have only a red heart of health or less.
** Samson gains damage the first six times he takes damage per floor. While this bonus can come from simply getting hit by an enemy, he can donate health to blood machines, devil beggars and confessionals to take advantage of this on purpose.
** Devil deals are a downplayed example of this in the sense that they require payment in the form of your maximum health, but many of them provide temporary hp in exchange (sometimes more than what was given up)
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SubTrope of PowerAtAPrice and SelfHarm. Compare BloodMagic, where spilling blood, especially if it's the user's own blood, is used to work magic. May overlap with TraumaticSuperpowerAwakening, though not necessarily if the injury or trauma is only required to use or activate the power for the very first time. Can overlap with CursedWithAwesome or BlessedWithSuck. In games, it is often [[GameplayAndStoryIntegration integrated into the game mechanics]] via CastFromHitPoints. Often pairs well with HealingFactor so the injuries don't catch up to you in the long run. Compare PainfulTransformation, for a power (shapeshifting) which is itself painful rather than being triggered by pain, and SelfMutilationDemonstration, for a power (immortality) which can be demonstrated by self-harm but is not reliant on it.

to:

SubTrope of PowerAtAPrice and SelfHarm. Compare BloodMagic, where spilling blood, especially if it's the user's own blood, is used to work magic. May overlap with TraumaticSuperpowerAwakening, though not necessarily if the injury or trauma is only required to use or activate the power for the very first time. Can overlap with CursedWithAwesome or BlessedWithSuck. In games, it is often [[GameplayAndStoryIntegration integrated into the game mechanics]] via CastFromHitPoints. Often pairs well with HealingFactor so the injuries don't catch up to you in the long run. Compare PainfulTransformation, for a power (shapeshifting) which that is itself painful rather than being triggered by pain, and SelfMutilationDemonstration, for a power (immortality) which that can be demonstrated by self-harm but is not reliant on it.



* Husk from ''ComicBook/GenerationX'' tears her own skin apart to grant herself temporary super-powers based on the material of the skin underneath. It's [[PowerIncontinence often a crapshoot]] (and she's been known to molt past her control), but with concentration, she can influence what she gets.
* ''ComicBook/TheMightyThor'': Thor's enemy Mr. Hyde uses a potion to add muscles and additional cells to his non-expanding skin; the result is like cramming 10 pounds of stuff into a 5-pound bag (that won't break). Extremely painful, but the result is strength enough to take on Thor.

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* Husk from ''ComicBook/GenerationX'' tears her own skin apart to grant herself temporary super-powers superpowers based on the material of the skin underneath. It's [[PowerIncontinence often a crapshoot]] (and she's been known to molt past her control), but with concentration, she can influence what she gets.
* ''ComicBook/TheMightyThor'': Thor's enemy Mr. Hyde uses a potion to add muscles and additional cells to his non-expanding skin; the result is like cramming 10 pounds of stuff into a 5-pound bag (that won't break). Extremely painful, but the result is enough strength enough to take on Thor.



* In ''Film/EverythingEverywhereAllAtOnce'', activating universe shifts and accessing the abilities of your other selves is done by taking "statistically highly improbable" actions. This involves doing something uncomfortable at best or downright harmful at best, such as by giving yourself a bunch of really awful papercuts between your fingers or by using a stapler on your own forehead.

to:

* In ''Film/EverythingEverywhereAllAtOnce'', activating universe shifts and accessing the abilities of your other selves is done by taking "statistically highly improbable" actions. This involves doing something uncomfortable at best or downright harmful at best, such as by giving yourself a bunch of really awful papercuts between your fingers or by using a stapler on your own forehead.



* ''Literature/{{Worm}}'': Marquis, a bone manipulating supervillain, has to have his bones burst out from his body and break them in order to use his powers offensively, which causes him agony despite his minor healing factor, but he's trained himself enough to not show any signs of physical pain.

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* ''Literature/{{Worm}}'': Marquis, a bone manipulating bone-manipulating supervillain, has to have his bones burst out from his body and break them in order to use his powers offensively, which causes him agony despite his minor healing factor, but he's trained himself enough to not show any signs of physical pain.



* In ''Series/{{Misfits}}'', a supernatural event happens where a storm imbues people with superpowers that are based on a person's personality and personal characteristics. Everyone finds their superpowers apart from Nathan, who is confused why he doesn't have any superpowers despite being in the storm, spends the first season and the web series trying to find his powers which largely involves injuring himself to test which power he might have. [[spoiler:At the end of season 1, he discovers that he has ResurrectiveImmortality.]]

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* In ''Series/{{Misfits}}'', a supernatural event happens where a storm imbues people with superpowers that are based on a person's personality and personal characteristics. Everyone finds their superpowers apart from Nathan, who is confused as to why he doesn't have any superpowers despite being in the storm, spends the first season and the web series trying to find his powers which largely involves injuring himself to test which power he might have. [[spoiler:At the end of season 1, he discovers that he has ResurrectiveImmortality.]]



** Played with in ''VideoGame/Persona3''. The Evokers which members of S.E.E.S. use are not real guns, but the characters using them by pointing one at their head triggers their [[DieOrFly fight-or-flight survival instinct]] that is required for one to summon their Persona.
** In ''VideoGame/Persona5'', Persona are summoned by ripping off masks affixed to the face, which seems to peel the skin off and releases a lot of blood. However, the masks only harm the characters the first time they summon their Persona, all subsequent times cause no injuries.

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** Played with in ''VideoGame/Persona3''. The Evokers which that members of S.E.E.S. use are not real guns, but the characters using them by pointing one at their head triggers their [[DieOrFly fight-or-flight survival instinct]] that is required for one to summon their Persona.
** In ''VideoGame/Persona5'', Persona are summoned by ripping off masks affixed to the face, which seems to peel the skin off and releases release a lot of blood. However, the masks only harm the characters the first time they summon their Persona, all subsequent times cause no injuries.



** When used by Ghost types, Curse is a move which halves the Pokemon's HP by half in exchange for the target Pokemon getting cursed and losing some health every turn. In some games, the move's animation even depicts a nail being driven into the Pokémon using it.

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** When used by Ghost types, Curse is a move which that halves the Pokemon's HP by half in exchange for the target Pokemon getting cursed and losing some health every turn. In some games, the move's animation even depicts a nail being driven into the Pokémon using it.

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* ''TabletopGame/{{Shadowrun}}'' supplement ''Magic in the Shadows''. A magician can use BloodMagic techniques to enhance their magical abilities. One way to do so is for the magician to injure themselves and spill their own blood.

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* In the ''TabletopGame/{{Shadowrun}}'' supplement ''Magic in the Shadows''. A Shadows'', a magician can use BloodMagic techniques to enhance their magical abilities. One way to do so is for the magician to injure themselves and spill their own blood.



* ''Franchise/TheIncredibleHulk Questprobe #1'': The game requires biting one's own lip to transform into the Incredible Hulk.



** Played with in ''VideoGame/Persona3''. The Evokers members of S.E.E.S. use are not real guns, but the characters using them by pointing one at their head triggers their [[DieOrFly fight-or-flight survival instinct]] that is required for one to summon their Persona.
** ''VideoGame/Persona5'': Persona are summoned in this game by ripping off masks affixed to the face, which seems to peel the skin off and releases a lot of blood. However, the masks only harm the characters the first time they summon their Persona, all subsequent times cause no injuries.
* ''Franchise/{{Pokemon}}'': When used by Ghost types, Curse is a move which halves the Pokemon's HP by half in exchange for the target Pokemon getting cursed and losing some health every turn. In some games, the move's animation even depicts a nail being driven into the Pokémon using it.

to:

** Played with in ''VideoGame/Persona3''. The Evokers which members of S.E.E.S. use are not real guns, but the characters using them by pointing one at their head triggers their [[DieOrFly fight-or-flight survival instinct]] that is required for one to summon their Persona.
** ''VideoGame/Persona5'': In ''VideoGame/Persona5'', Persona are summoned in this game by ripping off masks affixed to the face, which seems to peel the skin off and releases a lot of blood. However, the masks only harm the characters the first time they summon their Persona, all subsequent times cause no injuries.
* ''Franchise/{{Pokemon}}'': ''Franchise/{{Pokemon}}'':
**
When used by Ghost types, Curse is a move which halves the Pokemon's HP by half in exchange for the target Pokemon getting cursed and losing some health every turn. In some games, the move's animation even depicts a nail being driven into the Pokémon using it.



* ''Franchise/TheIncredibleHulk Questprobe #1'': The game requires biting one's own lip to transform into the Incredible Hulk.
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* In ''Franchise/DragonAge'', BloodMagic requires, well, the spilling of blood... but it can be your own blood, making it this trope. The Magisters of Tevinter use that as proof that blood magic is perfectly fine to study and use and doesn't violate the Chantry's ban on using magic to do harm, studiously ignoring the fact that most blood mages soon [[JumpOffTheSlipperySlope find that they need more power than their own bodies can provide...]]

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* Husk from ''ComicBook/GenerationX'' tears her own skin apart to grant herself temporary superpowers based on the material of the skin underneath. It's [[PowerIncontinence often a crapshoot]] (and she's been known to molt past her control), but with concentration, she can influence what she gets.

to:

* Husk from ''ComicBook/GenerationX'' tears her own skin apart to grant herself temporary superpowers super-powers based on the material of the skin underneath. It's [[PowerIncontinence often a crapshoot]] (and she's been known to molt past her control), but with concentration, she can influence what she gets.



* ''Franchise/{{Pokemon}}'':
** When used by Ghost types, Curse is a move which halves the Pokemon's HP by half in exchange for the target Pokemon getting cursed and losing some health every turn. In some games, the move's animation even depicts a nail being driven into the Pokémon using it.

to:

* ''Franchise/{{Pokemon}}'':
**
''Franchise/{{Pokemon}}'': When used by Ghost types, Curse is a move which halves the Pokemon's HP by half in exchange for the target Pokemon getting cursed and losing some health every turn. In some games, the move's animation even depicts a nail being driven into the Pokémon using it.


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* ''Franchise/TheIncredibleHulk Questprobe #1'': The game requires biting one's own lip to transform into the Incredible Hulk.

Added: 263

Changed: 261

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None


* Husk from ''ComicBook/GenerationX'' tears her own skin apart to grant herself temporary super-powers based on the material of the skin underneath. It's [[PowerIncontinence often a crapshoot]] (and she's been known to molt past her control), but with concentration, she can influence what she gets.

to:

* Husk from ''ComicBook/GenerationX'' tears her own skin apart to grant herself temporary super-powers superpowers based on the material of the skin underneath. It's [[PowerIncontinence often a crapshoot]] (and she's been known to molt past her control), but with concentration, she can influence what she gets.



* ''Franchise/{{Pokemon}}'': When used by Ghost types, Curse is a move which halves the Pokemon's HP by half in exchange for the target Pokemon getting cursed and losing some health every turn. In some games, the move's animation even depicts a nail being driven into the Pokémon using it.

to:

* ''Franchise/{{Pokemon}}'': ''Franchise/{{Pokemon}}'':
**
When used by Ghost types, Curse is a move which halves the Pokemon's HP by half in exchange for the target Pokemon getting cursed and losing some health every turn. In some games, the move's animation even depicts a nail being driven into the Pokémon using it.
Is there an issue? Send a MessageReason:
This is more Bloody Murder.


* ''Literature/BeyondTheBoundary'': Mirai Kuriyama can use her blood to form weapons. It has a disadvantage, as well. If she overuses her powers, she can become anemic.
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* ''Anime/DarkerThanBlack'': Every Contractor has a specific Remuneration that they're compelled to perform after using their powers. The GravityMaster Louis has to [[{{Fingore}} break his own fingers]]. November 11 sees his remuneration as this trope: he's a [[StraightEdgeEvil straight-edge villain]] who has to smoke cigarettes.
Is there an issue? Send a MessageReason:
None

Added DiffLines:

** Many meta-strategies also invoke this, such as putting a Toxic/Fire Orb on a Guts Pokémon to force a status ailment on it and get the attack-buff, or having a Fighting Pokémon learn Reversal, which does more damage the less HP the user has.

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Superpowers are awesome; however, many writers tend to give said powers some sort of [[PowerAtAPrice tradeoff]] or necessiate an unconventional way of triggering them in order to keep things interesting. One way to do this is to require someone to injure themselves or directly inflict self-damage in order to use/activate their powers. This makes it so one may only use their powers out of desperation; after all, if someone is willing to hurt themselves in order to gain power every time, then surely they mean business, and requiring injury could prevent the powers from being used too liberally. Perhaps the abilities are fueled via the PowerOfHate or UnstoppableRage, and injuring oneself is the easiest way to fill oneself with the necessary emotions. It could also hint at some darker or sinister nature behind said powers ([[BadPowersGoodPeople though not necessarily the people using them]]), since they require a literal flesh and/or blood sacrifice in order to use.

SubTrope of PowerAtAPrice. Compare BloodMagic, where spilling blood, especially if it's the user's own blood, is used to work magic. May overlap with TraumaticSuperpowerAwakening, though not necessarily if the injury or trauma is only required to use or activate the power for the very first time. Can overlap with CursedWithAwesome or BlessedWithSuck. In games, it is often [[GameplayAndStoryIntegration integrated into the game mechanics]] via CastFromHitPoints. Often pairs well with HealingFactor so the injuries don't catch up to you in the long run.

to:

Superpowers are awesome; however, many writers tend to give said powers some sort of [[PowerAtAPrice tradeoff]] or necessiate necessitate an unconventional way of triggering them in order to keep things interesting. One way to do this is to require someone to injure themselves or directly inflict self-damage in order to use/activate their powers. This makes it so one may only use their powers out of desperation; after all, if someone is willing to hurt themselves in order to gain power every time, then surely they mean business, and requiring injury could prevent the powers from being used too liberally. Perhaps the abilities are fueled via the PowerOfHate ThePowerOfHate or UnstoppableRage, and injuring oneself is the easiest way to fill oneself with the necessary emotions. It could also hint at some darker or sinister nature behind said powers ([[BadPowersGoodPeople though not necessarily the people using them]]), since they require a literal flesh and/or blood sacrifice in order to use.

SubTrope of PowerAtAPrice.PowerAtAPrice and SelfHarm. Compare BloodMagic, where spilling blood, especially if it's the user's own blood, is used to work magic. May overlap with TraumaticSuperpowerAwakening, though not necessarily if the injury or trauma is only required to use or activate the power for the very first time. Can overlap with CursedWithAwesome or BlessedWithSuck. In games, it is often [[GameplayAndStoryIntegration integrated into the game mechanics]] via CastFromHitPoints. Often pairs well with HealingFactor so the injuries don't catch up to you in the long run. Compare PainfulTransformation, for a power (shapeshifting) which is itself painful rather than being triggered by pain, and SelfMutilationDemonstration, for a power (immortality) which can be demonstrated by self-harm but is not reliant on it.



* ''ComicBook/CivilWar2006'': The trigger for the creation of the Super Human Registration Act that would become the cornerstone of the conflict is the rash actions of the New Warriors, who attacked a group of villains hiding out and triggered an explosion that killed hundreds of civilians (including a large number of children). The SoleSurvivor is Speedball, whose power was based on kinetic energy. After the explosion, he learns his powers are now activated by pain and so fashions a new suit with sharp spikes fastened on the ''inside'' (so almost every move he makes will draw blood), renaming himself "Penance". It's one of the more infamous examples of {{Wangst}} in modern comics.
* In ''ComicBook/{{Finder}}'', major character Jaeger Ayres has a HealingFactor. Unfortunately, this means that he has to self-harm every so often if he hasn't been injured some other way because with nothing to do his healing factor sends his immune system out of control and he gets auto-immune diseases.
* Husk (one of [[Franchise/MarvelUniverse Marvel]]'s lesser-known X-Men) tears her own skin apart to grant herself temporary super-powers based on the material of the skin underneath, It's often a SuperpowerLottery (and she's been known to molt past her control) but with concentration, she can influence what she gets.
* ''ComicBook/{{Runaways}}'': Nico initially uses a pocket knife to cut her arm whenever she has to summon the Staff of One (which only appears when she bleeds). After the first arc is over, she can't bring herself to use the pocket knife and instead resorts to more imaginative ways to bleed (including making use of that time of the month).
* The mutant power of [[Characters/XFactor Jamie Madrox]] (aka Multiple Man) is to create duplicates of himself (nicknamed dupes) by making use of kinetic energy. The simplest way for him to create dupes is to just slap or punch himself.
* Mr Hyde of Marvel Comics fame uses a potion to add muscles and additional cells to his non-expanding skin; the result is like cramming 10 pounds of stuff into a 5 pound bag (that won't break). Extremely painful but the result is strength enough to take on Thor.

to:

* ''ComicBook/CivilWar2006'': The trigger for the creation of the Super Human Superhuman Registration Act that would become the cornerstone of the conflict is the rash actions of the New Warriors, ComicBook/NewWarriors, who attacked a group of villains hiding out and triggered an explosion that killed hundreds of civilians (including a large number of children). The SoleSurvivor is Speedball, whose power was is based on kinetic energy. After the explosion, he learns that his powers are now activated by pain and so fashions a new suit with [[DeliberatelyPainfulClothing sharp spikes fastened on the ''inside'' inside]] (so almost every move he makes will draw blood), renaming himself "Penance".[[ThePenance "Penance"]]. It's one of the more infamous examples of {{Wangst}} in modern comics.
* In ''ComicBook/{{Finder}}'', major character Jaeger Ayres has a HealingFactor. Unfortunately, this means that he has to self-harm every so often if he hasn't been injured some other way because with nothing to do his healing factor sends his immune system out of control and he gets auto-immune diseases.
diseases.
* Husk (one of [[Franchise/MarvelUniverse Marvel]]'s lesser-known X-Men) from ''ComicBook/GenerationX'' tears her own skin apart to grant herself temporary super-powers based on the material of the skin underneath, underneath. It's [[PowerIncontinence often a SuperpowerLottery crapshoot]] (and she's been known to molt past her control) control), but with concentration, she can influence what she gets.
gets.
* ''ComicBook/TheMightyThor'': Thor's enemy Mr. Hyde uses a potion to add muscles and additional cells to his non-expanding skin; the result is like cramming 10 pounds of stuff into a 5-pound bag (that won't break). Extremely painful, but the result is strength enough to take on Thor.
* ''ComicBook/{{Runaways}}'': Nico initially uses a pocket knife pocketknife to cut her arm whenever she has to summon the Staff of One (which only appears when she bleeds). After the first arc is over, she can't bring herself to use the pocket knife pocketknife and instead resorts to more imaginative ways to bleed (including making use of that time of the month).
* ''ComicBook/XFactor'': The mutant power of [[Characters/XFactor Jamie Madrox]] (aka Madrox (a.k.a. Multiple Man) is to create duplicates of himself (nicknamed dupes) by making use of kinetic energy. The simplest way for him to create dupes is to just slap or punch himself. \n* Mr Hyde of Marvel Comics fame uses a potion to add muscles and additional cells to his non-expanding skin; the result is like cramming 10 pounds of stuff into a 5 pound bag (that won't break). Extremely painful but the result is strength enough to take on Thor.\n



* In ''Film/EverythingEverywhereAllAtOnce,'' activating universe shifts and accessing the abilities of your other selves is done by taking "statistically highly improbable" actions. This involves doing something uncomfortable at best or downright harmful at best, such as by giving yourself a bunch of really awful papercuts between your fingers or by using a stapler on your own forehead.

to:

* In ''Film/EverythingEverywhereAllAtOnce,'' ''Film/EverythingEverywhereAllAtOnce'', activating universe shifts and accessing the abilities of your other selves is done by taking "statistically highly improbable" actions. This involves doing something uncomfortable at best or downright harmful at best, such as by giving yourself a bunch of really awful papercuts between your fingers or by using a stapler on your own forehead.



* Queenie in ''Series/AmericanHorrorStoryCoven'' is a "living voodoo doll". She harms herself and an identical wound will appear on her target. She also recovers extremely quickly from such wounds.
* ''Series/{{Misfits}}'': In this TV series, a supernatural event happens where a storm imbues people with superpowers that are based on a person's personality and personal characteristics. Everyone finds their superpowers apart from Nathan, who is confused why he doesn't have any superpowers despite being in the storm, spends the first season and the web series trying to find his powers which largely involves injuring himself to test which power he might have. [[spoiler:at the end of season 1, he discovers that he has [[ResurrectiveImmortality resurrective immortality]].]]

to:

* Queenie in ''Series/AmericanHorrorStoryCoven'' is a "living voodoo doll".{{voodoo doll}}". She harms herself and an identical wound will appear on her target. She also recovers extremely quickly from such wounds.
* ''Series/{{Misfits}}'': In this TV series, ''Series/{{Misfits}}'', a supernatural event happens where a storm imbues people with superpowers that are based on a person's personality and personal characteristics. Everyone finds their superpowers apart from Nathan, who is confused why he doesn't have any superpowers despite being in the storm, spends the first season and the web series trying to find his powers which largely involves injuring himself to test which power he might have. [[spoiler:at [[spoiler:At the end of season 1, he discovers that he has [[ResurrectiveImmortality resurrective immortality]].ResurrectiveImmortality.]]



* ''TabletopGame/DungeonsAndDragons'': The Blood Hunter class [[note]]originally created by Creator/MatthewMercer for ''WebVideo/CriticalRole'', and remains unofficial content even though Exandria is part of the universe sanctioned by Wizards of the Coast[[/note]] relies on cutting themselves to gain power-ups, using their magical blood to amplify spells and curses. There are also subtypes: the Order of the Lycan transforms into werecreatures, the Order of the Ghostslayer studies deaths and combats undead, the Order of the Mutant enhances their bodies to become ultimate warriors, and the Order of the Profane Soul makes pacts with lesser evils to fight greater threats.

to:

* ''TabletopGame/DungeonsAndDragons'': The Blood Hunter class [[note]]originally class[[note]]originally created by Creator/MatthewMercer for ''WebVideo/CriticalRole'', and remains unofficial content even though Exandria is part of the universe sanctioned by Wizards of the Coast[[/note]] relies on cutting themselves to gain power-ups, using their magical blood to amplify spells and curses. There are also subtypes: the Order of the Lycan transforms into werecreatures, the Order of the Ghostslayer studies deaths and combats undead, the Order of the Mutant enhances their bodies to become ultimate warriors, and the Order of the Profane Soul makes pacts with lesser evils to fight greater threats.



* ''VideoGame/{{Pokemon}}'': When used by Ghost types, Curse is a move which halves the Pokemon's HP by half in exchange for the target Pokemon getting cursed and losing some health every turn. In some games, the move's animation even depicts a nail being driven into the Pokémon using it.

to:

* ''VideoGame/{{Pokemon}}'': ''Franchise/{{Pokemon}}'': When used by Ghost types, Curse is a move which halves the Pokemon's HP by half in exchange for the target Pokemon getting cursed and losing some health every turn. In some games, the move's animation even depicts a nail being driven into the Pokémon using it.



[[folder:Web Video]]
* ''WebVideo/CriticalRole'': Mollymauk Tealeaf of campaign 2 cuts himself to cast some terrifying spells and curses. Creator/TaliesinJaffe specified that, for Molly, cutting wasn't about self-harm but acts of sacrifice, since Molly never found any pleasure or relief from using his blood in this manner. He gives of himself to protect and maintain. [[spoiler:Upon Molly's death - caused when he cut himself too much in an attempt to blind an antagonist -, Lucien is resurrected. The trope ceases to be BadPowersGoodPeople and immediately went into BadPowersBadPeople.]]

to:

[[folder:Web Video]]
Videos]]
* ''WebVideo/CriticalRole'': Mollymauk Tealeaf of campaign 2 cuts himself to cast some terrifying spells and curses. Creator/TaliesinJaffe specified that, for Molly, cutting wasn't about self-harm but acts of sacrifice, since Molly never found any pleasure or relief from using his blood in this manner. He gives of himself to protect and maintain. [[spoiler:Upon Molly's death - caused (caused when he cut himself too much in an attempt to blind an antagonist -, antagonist), Lucien is resurrected. The trope ceases to be BadPowersGoodPeople and immediately went turns into BadPowersBadPeople.]]
Is there an issue? Send a MessageReason:
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* Mr Hyde of Marvel Comics fame uses a potion to add muscles and additional cells to his non-expanding skin; the result is like cramming 10 pounds of stuff into a 5 pound bag (that won't break). Extremely painful but the result is strength enough to take on Thor.
Is there an issue? Send a MessageReason:
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* ''VideoGame/{{Bloodborne}}'': In the Old Hunters one of the bosses the player faces is Lady Maria of the Astral Clocktower. When a third of her health is gone, Maria will stab her sword Rakuyo into her chest coating the blade with her blood allowing her to increase the range with which she can attack and also allowing her to use a few AOE attacks as well.
* ''VideoGame/{{Bloodborne}}'': In the Old Hunters one of the bosses the player faces is Lady Maria of the Astral Clocktower. When a third of her health is gone, Maria will stab her sword Rakuyo into her chest coating the blade with her blood allowing her to increase the range with which she can attack and also allowing her to use a few AOE attacks as well.
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Created from YKTTW

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[[quoteright:340:[[Manga/AttackOnTitan https://static.tvtropes.org/pmwiki/pub/images/erentransforming.png]]]]

Superpowers are awesome; however, many writers tend to give said powers some sort of [[PowerAtAPrice tradeoff]] or necessiate an unconventional way of triggering them in order to keep things interesting. One way to do this is to require someone to injure themselves or directly inflict self-damage in order to use/activate their powers. This makes it so one may only use their powers out of desperation; after all, if someone is willing to hurt themselves in order to gain power every time, then surely they mean business, and requiring injury could prevent the powers from being used too liberally. Perhaps the abilities are fueled via the PowerOfHate or UnstoppableRage, and injuring oneself is the easiest way to fill oneself with the necessary emotions. It could also hint at some darker or sinister nature behind said powers ([[BadPowersGoodPeople though not necessarily the people using them]]), since they require a literal flesh and/or blood sacrifice in order to use.

SubTrope of PowerAtAPrice. Compare BloodMagic, where spilling blood, especially if it's the user's own blood, is used to work magic. May overlap with TraumaticSuperpowerAwakening, though not necessarily if the injury or trauma is only required to use or activate the power for the very first time. Can overlap with CursedWithAwesome or BlessedWithSuck. In games, it is often [[GameplayAndStoryIntegration integrated into the game mechanics]] via CastFromHitPoints. Often pairs well with HealingFactor so the injuries don't catch up to you in the long run.
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!!Examples

[[foldercontrol]]
[[folder:Anime & Manga]]
* ''Manga/AttackOnTitan'': In order for Titan Shifters to transform, they need to be injured enough to draw blood and have a purpose in mind for their transformation, so most of them will cut themselves or bite their hands when they want to trigger their transformation. Being a Titan Shifter also means having a HealingFactor, so these injuries aren't a big deal in the long run. However, if there's no reason present, as in Eren's case when fighting the Female Titan, no matter how many times he bites his hand, it doesn't work.
* ''Manga/{{Bleach}}'': Giselle Gewelle can use her blood to turn anyone into a zombie, meaning she has to injure herself first to do it.
* In ''Manga/DeadmanWonderland'', all Deadmen are able to [[BloodyMurder manipulate their own blood as a weapon]]. But since they need an open wound to draw the blood from, many of them will bite their thumbs or use other implements to injure themselves. Ganta in particular cannot recycle his own blood, as he shoots it as a deadly projectile rather than circulating it around him. As a result, his ability to engage in protracted fights is limited by the amount of blood he can risk losing without passing out.
* ''Manga/JojosBizarreAdventureStoneOcean'': One of the Stands [[BigBad Pucci]] keeps as a disk is Highway To Hell, which allows its user to attack opponents by injuring themself. The Stand's recipient, [[VillainOfTheWeek Thunder McQueen]], then tries to kill himself, thus taking down his target with him.
* Downplayed with the Kamui in ''Anime/KillLaKill'', advanced clothes that give superpowers to their wearers but drink their blood in order to sustain the transformation. The blood consumption is handled through a proboscis-like needle in the outfit itself, but the user triggers when it is used.
* ''Manga/MagicalGirlSite'': Kosame Amagai received a magic wand from Magical Girl Site that takes the form of a utility knife. By cutting herself with it, she can use her blood to heal others' wounds.
* ''Anime/MyHime'': [[TheDragon Nagi]] could always summon Orphans to attack the [=HiME=] (with the actual goal being to teach them how to best use their powers so they could [[ThereCanBeOnlyOne fight each other later]]). But in the Manga, he has to cut open his skin to summon them, as they form from his blood.
* ''Manga/{{Naruto}}'':
** Ninja activate magic scrolls by biting or cutting the skin at the tip of their finger (usually the thumb) and touching it to the scroll because they require the user's blood to activate.
** Hidan of the villain group Akatsuki has the special ability to link himself to his target, resulting in any damage to him being inflicted on his target as well. Since Hidan himself is both immortal and very resistant to pain, his "fighting style" often boils down to linking himself to an enemy and then repeatedly inflicting self-harm, crippling if not outright killing his enemy without having to run around.
* ''Manga/SoulEater'': Crona has to bleed to use his Black Blood [[BloodyMurder as a weapon]].
[[/folder]]

[[folder:Comic Books]]
* ''ComicBook/CivilWar2006'': The trigger for the creation of the Super Human Registration Act that would become the cornerstone of the conflict is the rash actions of the New Warriors, who attacked a group of villains hiding out and triggered an explosion that killed hundreds of civilians (including a large number of children). The SoleSurvivor is Speedball, whose power was based on kinetic energy. After the explosion, he learns his powers are now activated by pain and so fashions a new suit with sharp spikes fastened on the ''inside'' (so almost every move he makes will draw blood), renaming himself "Penance". It's one of the more infamous examples of {{Wangst}} in modern comics.
* In ''ComicBook/{{Finder}}'', major character Jaeger Ayres has a HealingFactor. Unfortunately, this means that he has to self-harm every so often if he hasn't been injured some other way because with nothing to do his healing factor sends his immune system out of control and he gets auto-immune diseases.
* Husk (one of [[Franchise/MarvelUniverse Marvel]]'s lesser-known X-Men) tears her own skin apart to grant herself temporary super-powers based on the material of the skin underneath, It's often a SuperpowerLottery (and she's been known to molt past her control) but with concentration, she can influence what she gets.
* ''ComicBook/{{Runaways}}'': Nico initially uses a pocket knife to cut her arm whenever she has to summon the Staff of One (which only appears when she bleeds). After the first arc is over, she can't bring herself to use the pocket knife and instead resorts to more imaginative ways to bleed (including making use of that time of the month).
* The mutant power of [[Characters/XFactor Jamie Madrox]] (aka Multiple Man) is to create duplicates of himself (nicknamed dupes) by making use of kinetic energy. The simplest way for him to create dupes is to just slap or punch himself.
[[/folder]]

[[folder:Fan Works]]
* ''Fanfic/TheBloodstainedHero'': Izuku often needs to make himself bleed for his powers to activate. Vlad King, whose quirk allows him to control his own blood, mentions that self-harm tools like bloodletting knives are very common for people with blood-related quirks, and he himself relied on them when he was younger.
[[/folder]]

[[folder:Films -- Live-Action]]
* In ''Film/EverythingEverywhereAllAtOnce,'' activating universe shifts and accessing the abilities of your other selves is done by taking "statistically highly improbable" actions. This involves doing something uncomfortable at best or downright harmful at best, such as by giving yourself a bunch of really awful papercuts between your fingers or by using a stapler on your own forehead.
* ''Film/SomeKindOfHate'' is about an undead girl named Mara, who feeds off the sadness of bullied victims, and will avenge them if they're angry enough to say," I want my bullies dead." In order to attack others, she must attack herself. So, to break someone's arm, she must break her own arm. That's how spiteful she is, having been brutally bullied in the past.
* ''Franchise/StarWars'': Pain strengthens the Dark Side of the Force, so some Dark Side users will deliberately hurt themselves to expedite the process. The most well-known example of this is Kylo Ren from the sequel trilogy, who at one point pounds on his own wounds in the heat of battle in order to grant himself additional power.
[[/folder]]

[[folder:Literature]]
* ''Literature/BeyondTheBoundary'': Mirai Kuriyama can use her blood to form weapons. It has a disadvantage, as well. If she overuses her powers, she can become anemic.
* ''Literature/ReZero'': Petelgeuse always injures his fingers in some manner, such as by biting them, breaking them, or ripping off the nails, right before he activates his Unseen Hand, suggesting that he needs to harm his fingers (or just himself in general) for the power to activate.
* ''Literature/WildCards'': The Hero Twins are a pair of Mayan Native Americans with superpowers that need to be activated by shedding a bit of their own blood.
* ''Literature/{{Worm}}'': Marquis, a bone manipulating supervillain, has to have his bones burst out from his body and break them in order to use his powers offensively, which causes him agony despite his minor healing factor, but he's trained himself enough to not show any signs of physical pain.
[[/folder]]

[[folder:Live-Action TV]]
* Queenie in ''Series/AmericanHorrorStoryCoven'' is a "living voodoo doll". She harms herself and an identical wound will appear on her target. She also recovers extremely quickly from such wounds.
* ''Series/{{Misfits}}'': In this TV series, a supernatural event happens where a storm imbues people with superpowers that are based on a person's personality and personal characteristics. Everyone finds their superpowers apart from Nathan, who is confused why he doesn't have any superpowers despite being in the storm, spends the first season and the web series trying to find his powers which largely involves injuring himself to test which power he might have. [[spoiler:at the end of season 1, he discovers that he has [[ResurrectiveImmortality resurrective immortality]].]]
[[/folder]]

[[folder:Tabletop Games]]
* ''TabletopGame/DungeonsAndDragons'': The Blood Hunter class [[note]]originally created by Creator/MatthewMercer for ''WebVideo/CriticalRole'', and remains unofficial content even though Exandria is part of the universe sanctioned by Wizards of the Coast[[/note]] relies on cutting themselves to gain power-ups, using their magical blood to amplify spells and curses. There are also subtypes: the Order of the Lycan transforms into werecreatures, the Order of the Ghostslayer studies deaths and combats undead, the Order of the Mutant enhances their bodies to become ultimate warriors, and the Order of the Profane Soul makes pacts with lesser evils to fight greater threats.
* ''TabletopGame/{{Shadowrun}}'' supplement ''Magic in the Shadows''. A magician can use BloodMagic techniques to enhance their magical abilities. One way to do so is for the magician to injure themselves and spill their own blood.
[[/folder]]

[[folder:Video Games]]
* ''VideoGame/TheBindingOfIsaac'': The Razor Blade is an item that grants a power boost for the room, provided that Isaac harms himself and give up half a heart of red health to the item.
* ''VideoGame/{{Bloodborne}}'': In the Old Hunters one of the bosses the player faces is Lady Maria of the Astral Clocktower. When a third of her health is gone, Maria will stab her sword Rakuyo into her chest coating the blade with her blood allowing her to increase the range with which she can attack and also allowing her to use a few AOE attacks as well.
* ''VideoGame/{{Bloodborne}}'': In the Old Hunters one of the bosses the player faces is Lady Maria of the Astral Clocktower. When a third of her health is gone, Maria will stab her sword Rakuyo into her chest coating the blade with her blood allowing her to increase the range with which she can attack and also allowing her to use a few AOE attacks as well.
* ''VideoGame/{{Bloodborne}}'': In the Old Hunters one of the bosses the player faces is Lady Maria of the Astral Clocktower. When a third of her health is gone, Maria will stab her sword Rakuyo into her chest coating the blade with her blood allowing her to increase the range with which she can attack and also allowing her to use a few AOE attacks as well.
* In ''VideoGame/DragonBallZBudokai'', Captain Ginyu has a special move called "Self-Harm" that boosts his power while damaging himself.
* In ''VideoGame/FinalFantasyXIV'', Queen Gunnhildr became a god by stabbing herself with the auracite weapon, Save the Queen, to save her beloved Bozja from the Fourth Umbral Calamity. [[spoiler:Misija Votyasch]] accesses the full power of the primal Queen Gunnhildr by raising Save the Queen into the air in the heart of Delubrum Reginae. The weapon then levitates behind her before shooting through her into the Queensheart, a massive crystal packed with aether. This infuses her with the primal's power in the same vein as Ysayle summoning Shiva into herself.
* ''VideoGame/FoodFantasy'': Bird's Nest Soup is described to sacrifice her own blood to enable "Bleeding Cry", her energy skill.
* ''VideoGame/GenshinImpact'':
** Kuki Shinobu can activate a healing and electro field with her skill, but she loses 30% of her HP when she does so.
** Hu Tao also loses HP when she uses her skill, and her attack increases greatly when her HP is below 50%.
* ''Franchise/{{Persona}}'':
** Played with in ''VideoGame/Persona3''. The Evokers members of S.E.E.S. use are not real guns, but the characters using them by pointing one at their head triggers their [[DieOrFly fight-or-flight survival instinct]] that is required for one to summon their Persona.
** ''VideoGame/Persona5'': Persona are summoned in this game by ripping off masks affixed to the face, which seems to peel the skin off and releases a lot of blood. However, the masks only harm the characters the first time they summon their Persona, all subsequent times cause no injuries.
* ''VideoGame/{{Pokemon}}'': When used by Ghost types, Curse is a move which halves the Pokemon's HP by half in exchange for the target Pokemon getting cursed and losing some health every turn. In some games, the move's animation even depicts a nail being driven into the Pokémon using it.
* ''VideoGame/VoodooVince'': Being a voodoo doll, this was [[PlayerCharacter Vince]]'s whole thing. Activating his voodoo powers would cause Vince to injure himself in some way, which would then transfer the damage to all nearby enemies, effectively making it an insta kill move. The power needs voodoo beads to work, which Vince can get by attacking enemies.
[[/folder]]

[[folder:Web Video]]
* ''WebVideo/CriticalRole'': Mollymauk Tealeaf of campaign 2 cuts himself to cast some terrifying spells and curses. Creator/TaliesinJaffe specified that, for Molly, cutting wasn't about self-harm but acts of sacrifice, since Molly never found any pleasure or relief from using his blood in this manner. He gives of himself to protect and maintain. [[spoiler:Upon Molly's death - caused when he cut himself too much in an attempt to blind an antagonist -, Lucien is resurrected. The trope ceases to be BadPowersGoodPeople and immediately went into BadPowersBadPeople.]]
[[/folder]]
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