diff --git a/src/App.ts b/src/App.ts
index b5bcf96..b35e239 100644
--- a/src/App.ts
+++ b/src/App.ts
@@ -1250,6 +1250,14 @@ const quakeRemotePlayers = createQuakeMultiplayerRemotePlayerPresenter({
   localClientId: QUAKE_MULTIPLAYER_LOCAL_CLIENT_ID,
   createVisual: createQuakeRemotePlayerVisual,
   shouldRenderPlayer: (playerState) => playerState.playerId !== quakeMultiplayerSpectatorFollowedPlayerId,
+  onPlayerDamaged: (event, playerState) => {
+    if (!quakeMultiplayerRemoteDamageFromLocalPlayer(event)) return;
+    quakeImpactParticleFlow.spawnBlood({
+      damage: event.damage,
+      directionHint: quakeMultiplayerRemoteDamageDirectionHint(event, playerState),
+      origin: quakeMultiplayerRemoteDamageOrigin(playerState),
+    });
+  },
   now: () => Date.now(),
 });
 const quakeLoopbackTrustedSceneMovement = {
@@ -2909,7 +2917,7 @@ function syncQuakeRemotePlayerVisual(
   state: QuakeMultiplayerRemoteInterpolationState,
 ): void {
   const { handle } = remote;
-  handle.element.hidden = state.stale;
+  handle.element.hidden = false;
   setQuakeRenderBundleFrameSetHandleFrame(handle, quakeRemotePlayerVisualFrameIndex(remote, state));
   const rotY = quakeRemotePlayerVisualRotY(state);
   handle.setTransform({
@@ -3735,6 +3743,33 @@ function handleQuakeMultiplayerPlayerDamaged(
   if (event.health <= 0 && !quakePlayerDead) showQuakePlayerDeath();
 }
 
+function quakeMultiplayerRemoteDamageOrigin(playerState: QuakeMultiplayerAuthoritativePlayerState): Vec3 {
+  return [
+    playerState.origin[0],
+    playerState.origin[1],
+    playerState.origin[2] + QUAKE_MULTIPLAYER_REMOTE_PLAYER_EYE_HEIGHT * 0.5,
+  ];
+}
+
+function quakeMultiplayerRemoteDamageDirectionHint(
+  event: Extract<QuakeMultiplayerSharedWorldEvent, { eventType: "player.damaged" }>,
+  playerState: QuakeMultiplayerAuthoritativePlayerState,
+): Vec3 | undefined {
+  if (!quakeMultiplayerRemoteDamageFromLocalPlayer(event)) return undefined;
+  const origin = getPlayer().currentOrigin();
+  return [
+    playerState.origin[0] - origin[0],
+    playerState.origin[1] - origin[1],
+    playerState.origin[2] - origin[2],
+  ];
+}
+
+function quakeMultiplayerRemoteDamageFromLocalPlayer(
+  event: Extract<QuakeMultiplayerSharedWorldEvent, { eventType: "player.damaged" }>,
+): boolean {
+  return event.attackerPlayerId === quakeMultiplayerPlayerIdForClient(QUAKE_MULTIPLAYER_LOCAL_CLIENT_ID);
+}
+
 function handleQuakeMultiplayerPlayerKilled(
   event: Extract<QuakeMultiplayerSharedWorldEvent, { eventType: "player.killed" }>,
 ): void {
diff --git a/src/runtime/multiplayer/presentation.ts b/src/runtime/multiplayer/presentation.ts
index 0b3abf2..c578678 100644
--- a/src/runtime/multiplayer/presentation.ts
+++ b/src/runtime/multiplayer/presentation.ts
@@ -13,6 +13,11 @@ const QUAKE_MULTIPLAYER_REMOTE_RENDER_DELAY_MS = 100;
 const QUAKE_MULTIPLAYER_REMOTE_STALE_MS = 1_000;
 const QUAKE_MULTIPLAYER_REMOTE_SAMPLE_LIMIT = 12;
 
+type QuakeMultiplayerPlayerDamagedEvent = Extract<
+  QuakeMultiplayerSharedWorldEvent,
+  { eventType: "player.damaged" }
+>;
+
 export interface QuakeMultiplayerRemoteVisualHandle {
   element?: HTMLElement;
   setState(state: QuakeMultiplayerRemoteInterpolationState): void;
@@ -23,6 +28,10 @@ export interface QuakeMultiplayerRemotePlayerPresenterOptions {
   localClientId: string;
   createVisual(player: QuakeMultiplayerAuthoritativePlayerState): QuakeMultiplayerRemoteVisualHandle | null;
   shouldRenderPlayer?: (player: QuakeMultiplayerAuthoritativePlayerState) => boolean;
+  onPlayerDamaged?: (
+    event: QuakeMultiplayerPlayerDamagedEvent,
+    player: QuakeMultiplayerAuthoritativePlayerState,
+  ) => void;
   now?: () => number;
   requestFrame?: (callback: FrameRequestCallback) => number;
   cancelFrame?: (handle: number) => void;
@@ -137,7 +146,7 @@ export function createQuakeMultiplayerRemotePlayerPresenter(
     if (event.eventType === "player.left") {
       removeRemotePlayer(event.playerId);
     } else if (event.eventType === "player.damaged") {
-      markRemotePlayerPain(event.victimPlayerId);
+      markRemotePlayerPain(event);
     } else if (event.eventType === "player.killed") {
       markRemotePlayerDeath(event.victimPlayerId);
     } else if (event.eventType === "player.respawned") {
@@ -146,10 +155,11 @@ export function createQuakeMultiplayerRemotePlayerPresenter(
     }
   }
 
-  function markRemotePlayerPain(playerId: string): void {
-    const entry = players.get(playerId);
+  function markRemotePlayerPain(event: QuakeMultiplayerPlayerDamagedEvent): void {
+    const entry = players.get(event.victimPlayerId);
     if (!entry || entry.player.clientId === options.localClientId || !entry.player.alive) return;
     entry.lastPainAt = now();
+    options.onPlayerDamaged?.(event, entry.player);
     scheduleFrame();
   }
 
diff --git a/test/multiplayer/presentation.test.mjs b/test/multiplayer/presentation.test.mjs
new file mode 100644
index 0000000..87b1d9b
--- /dev/null
+++ b/test/multiplayer/presentation.test.mjs
@@ -0,0 +1,120 @@
+import assert from "node:assert/strict";
+import test from "node:test";
+
+import { createPlayer } from "./harness.mjs";
+import { importTsModule } from "../importTsModule.mjs";
+
+const presentation = await importTsModule("src/runtime/multiplayer/presentation.ts");
+
+function createRemotePresenterHarness() {
+  let now = 1_000;
+  const callbacks = new Map();
+  const damageEvents = [];
+  const visualStates = [];
+  const removed = [];
+  const presenter = presentation.createQuakeMultiplayerRemotePlayerPresenter({
+    localClientId: "local-client",
+    createVisual: (player) => ({
+      setState: (state) => visualStates.push({ playerId: player.playerId, state }),
+      remove: () => removed.push(player.playerId),
+    }),
+    onPlayerDamaged: (event, player) => damageEvents.push({ event, player }),
+    now: () => now,
+    renderDelayMs: 0,
+    requestFrame: (callback) => {
+      const handle = callbacks.size + 1;
+      callbacks.set(handle, callback);
+      return handle;
+    },
+    cancelFrame: (handle) => {
+      callbacks.delete(handle);
+    },
+  });
+
+  return {
+    damageEvents,
+    presenter,
+    removed,
+    visualStates,
+    flushFrame() {
+      const next = callbacks.entries().next().value;
+      assert.ok(next, "expected a scheduled frame");
+      const [handle, callback] = next;
+      callbacks.delete(handle);
+      callback(now);
+    },
+    setNow(value) {
+      now = value;
+    },
+  };
+}
+
+function roomSnapshot(players) {
+  return {
+    type: "room.snapshot",
+    payload: { players },
+  };
+}
+
+function roomEvent(event) {
+  return {
+    type: "room.event",
+    payload: { event },
+  };
+}
+
+test("remote presenter marks remote player pain and reports damage to visual layer", () => {
+  const harness = createRemotePresenterHarness();
+  const remotePlayer = createPlayer({
+    playerId: "remote-player",
+    clientId: "remote-client",
+    updatedAt: 1_000,
+    origin: [10, 20, 30],
+  });
+
+  harness.presenter.handleRoomMessage(roomSnapshot([remotePlayer]));
+  harness.flushFrame();
+
+  harness.setNow(1_100);
+  harness.presenter.handleRoomMessage(roomEvent({
+    eventType: "player.damaged",
+    eventId: "damage-1",
+    roomTime: 1_100,
+    victimPlayerId: "remote-player",
+    attackerPlayerId: "local-player",
+    damage: 12,
+    health: 88,
+    armor: 0,
+    damageSource: "shotgun",
+  }));
+  harness.flushFrame();
+
+  assert.equal(harness.damageEvents.length, 1);
+  assert.equal(harness.damageEvents[0].event.damage, 12);
+  assert.equal(harness.damageEvents[0].player.playerId, "remote-player");
+  assert.equal(harness.visualStates.at(-1).state.lastPainAt, 1_100);
+});
+
+test("remote presenter ignores local player damage for remote visuals", () => {
+  const harness = createRemotePresenterHarness();
+  const localPlayer = createPlayer({
+    playerId: "local-player",
+    clientId: "local-client",
+    updatedAt: 1_000,
+  });
+
+  harness.presenter.handleRoomMessage(roomSnapshot([localPlayer]));
+  assert.equal(harness.visualStates.length, 0);
+
+  harness.presenter.handleRoomMessage(roomEvent({
+    eventType: "player.damaged",
+    eventId: "damage-local",
+    roomTime: 1_100,
+    victimPlayerId: "local-player",
+    damage: 10,
+    health: 90,
+    armor: 0,
+  }));
+
+  assert.equal(harness.damageEvents.length, 0);
+});