[Extreme Painist](https://play.fancade.com/5E9DB29F6FD5ADAF) by james1236 is a very hard version of [[Pianist]] where your goal is to survive 4 pieces separately as long as possible before losing or even possibly finishing the piece.

This piece is harder than any other piece due to it being very obscure, having the same difficult traits as the previous pieces, and the fact that the notes are now set to 1/12 beat per row instead of 1/4 beat per row, meaning tiles could overlap, theres now a bit of luck involved as overlapping tiles will be harder to correctly execute, but enough practice could help you deal with double overlap or even triple overlap.