Paino

A piano that causes literal mental pain to the pianist who plays it, due to hear the screams of the person experiencing physical pain inside the strings.

"Why is he in the mental ward?"
"He just played the paino."
"Why the fuck would he do that?!!"

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Paino

MIDI Pianos used to compose a song not originally intended for the use of piano MIDI.

That's one heck of a paino.

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