The five features
Each one is scored 0 (absent), 1 (moderate, or you genuinely cannot tell) or 2 (obvious). A feature that cannot be seen clearly is not guessed at — it is left unscored.
- Ear positionobservers agree 87% of the time
- A comfortable cat faces its ears forward. As discomfort rises the tips pull apart and rotate outwards, until the ears sit flattened and turned away from each other.
0forward 1pulled apart 2rotated outwards - Orbital tighteningobservers agree 86% of the time
- The eye narrows. A relaxed cat holds its eyes open; a cat in pain squints, and the study draws the line at a gap between the eyelids smaller than half the width of the eye.
0fully open 1partly closed 2squinted - Muzzle tensionobservers agree 63% of the time
- A relaxed muzzle is round — roughly as tall as it is wide, with full whisker pads either side of the nose. Under tension it flattens and stretches sideways towards an oval. Long or fluffy fur can disguise this.
0round 1flattening 2elliptical - Whisker positionobservers agree 55% of the time
- Relaxed whiskers hang in a loose downward curve. As pain increases they straighten and push forward, away from the face, as though standing on end.
0relaxed droop 1straight 2pushed forward - Head positionobservers agree 90% of the time
- Judged against the shoulders. Held above the shoulder line is relaxed; level with it is intermediate; dropped below the shoulders, or tilted down with the chin towards the chest, is the strongest sign.
0above the shoulders 1level with them 2below, or chin down
Those agreement figures come from the validation study, and they are worth reading. Muzzle and whiskers are measurably harder to call than ears, eyes and head position — which is why PurrSight gives them less visual weight rather than pretending every feature is equally certain.
The diagrams above are our own illustrations, drawn to show one feature changing at a time. They are not the official reference images — those are © Université de Montréal and are available from felinegrimacescale.com.
How the score works
The scores are added up and divided by the maximum possible, giving a number between 0 and 1. Any feature that could not be scored is left out of both sides of that sum, so a partly hidden face still produces a fair result rather than an artificially low one.
The study found that a score above 0.39 identified cats who needed pain relief, with a sensitivity of 90.7% and a specificity of 86.6%.
That threshold is the study's, not ours. PurrSight does not tune it.
Why it works for cat owners
This is the part that makes the scale unusual. A follow-up study compared how consistently different groups applied it — cat owners, veterinarians, veterinary students and nurses — and found they agreed well with one another. It was built to be usable by people without clinical training, which is exactly why a tool like this one can reasonably be put in front of you.
How PurrSight uses it, and where we differ
PurrSight asks an AI model to score those same five features from your photo, several times over, and combines the runs. It is an emulation of the published method, not the method itself, and the differences are worth knowing:
- The scale was validated with trained human observers looking at a cat in front of them. We use a model looking at one photograph.
- It was validated for acute — sudden, short-term — pain. A cat with a long-standing problem may score low and still be suffering.
- Our own testing shows muzzle tension is where we are weakest: the model under-reads it against the scale's own labelled reference photographs. We would rather publish that than hide it.
Credit
The Feline Grimace Scale was developed and validated by researchers at the Université de Montréal. The scale, its training manual and its reference images are © Université de Montréal. PurrSight is an independent, non-commercial project that applies their published method. It is not affiliated with or endorsed by the university, and none of their material is reproduced on this page.
For the official scale, the training manual and the reference images, go to felinegrimacescale.com.
Evangelista MC, et al. Facial expressions of pain in cats: the development and validation of a Feline Grimace Scale. Scientific Reports 9:19128 (2019).
Evangelista MC, Steagall PV. Agreement and reliability of the Feline Grimace Scale among cat owners, veterinarians, veterinary students and nurses. Scientific Reports 11:5262 (2021).
A score is not a diagnosis
Worth being blunt about, because a number between 0 and 1 looks more definitive than it is. Three things this cannot do for you:
- It is not the scale itself. PurrSight emulates the published method with an AI model reading one photograph. That is not the same instrument as a trained observer with your cat in front of them, and it does not inherit that instrument's validation.
- A low score is not an all-clear. The scale was validated for acute pain. A cat with a long-standing problem, or one that is unwell without being in pain, can score low and still need help.
- It cannot tell you what is wrong. The scale reads a face. It says nothing about cause, and nothing about what to do next.
If your cat is behaving unlike itself, that matters more than any number on this page. Call a vet.