Most serious players use a secondary file called userconfig.cfg . The main config.cfg is often overwritten by the game when patches occur, but userconfig.cfg is executed via the autoexec.cfg file and remains untouched, ensuring the player's specific settings (like pAiN's rates) are always forced upon launch.

Double-check cl_painfeedback 0 . Also, certain mods (like Zombie Plague) override pain settings. Use developer 1 to see if commands are rejected.

Here is a breakdown of the typical settings found in the "Pain" config, which you can copy into your userconfig.cfg or config.cfg file.

: Optimized ex_interp and rate for the smoothest hit registration on 100-tick servers.