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The pear of anguish, also known as choke pear or mouth pear, is a medieval torture device based on mechanisms of unknown use from the early modern period. The mechanism consists of a pear-shaped metal body divided into spoon-like segments that can be spread apart with a spring or by turning a key. Its proposed functionality as a torture device is to be variously inserted into the mouth, rectum, or vagina, and then expanded to gag or mutilate the victim.Though there is little or no evidence of its use, there are a number of extant examples of variously crude, ornate, and elaborate, pear-shaped devices with three or four leaves or lobes, driven by turning a key that rotates the central screw thread, which spreads or closes the leaves. These are generally held in museums devoted to the subject of torture and are described as instruments of torture by distension or evisceration.