re: Is there anything more painful than being skinned alive?

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Freeze to death. I’ve had frostbite before and it hurt like hell. Also, freezing to death would be kind of slow which would extend the agony.

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Frostbite hurts the worst after you warm back up.

Death by hypothermia is actually a pretty easy way to go. Once the shivering slows down, lethargy sets in and you go to permanent sleep.