When it comes to describing something that causes pain, there are many synonyms that can be used instead of the phrase "gives pain." Some of these include "causes discomfort," "inflicts agony," "creates suffering," "brings distress," "produces ache," "generates torment," "induces hurt," "provokes anguish," "delivers misery," "evokes ache," and "creates affliction." Each of these phrases carries a slightly different connotation and may be used depending on the severity or type of pain being described. The use of synonyms can help to add variety and depth to writing while accurately conveying the intended message.