The Pear of Anguish was used during the Middle Ages as a way to torture women who conducted a miscarriage, liars, blasphemers and homosexuals.
A pear-shaped instrument was inserted into one of the victim's orifices: the vagina for women, the anus for homosexuals and the mouth for liars and blasphemers.
The instrument consisted of four leaves that slowly separated from each other as the torturer turned the screw at the top. It was the torturer's decision to simply tear the skin or expand the "pear" to its maximum and mutilate the victim.
The Pear of Anguish was usually very adorned to differentiate between the anal, vaginal and oral pears. They also varied in size accordingly.
This torture very rarely provoked death, but was often followed by other torture methods.