Card Trivia:Painful Choice
- This card has a "Speed Spell" counterpart: "Speed Spell - Painful Choice".
- This card shares similarities with "Arduous Decision":
- Both cards are Normal Spell Cards.
- Both cards share part of their Japanese names ("Kujū no Sentaku" for this card, and "Kujū no Ketsudan" for "Arduous Decision".)
- Both cards' artworks depict people standing with at least one person shown to be in distress.
- Both cards feature effects allowing the opponent to choose one card the player takes from the Deck.
- Also, both cards debuted during the same episode in the Yu-Gi-Oh! anime.
- The Dark Beginning 1 versions of this card were misprinted with "DB1-ENO33" in the set number area instead of "DB1-EN033", replacing the 0 (zero) with a capital O.
- With the removal of "Yata-Garasu" from the Forbidden status in 2022, this card and "The Forceful Sentry" currently hold the record of the longest continuously Forbidden card in the game, having surpassed the previous record of 18 years and 2 months of "Yata-Garasu" on May 2023.
