Painful Decision is a Normal Spell Card.
Spell Cards are usually activated from the hand on your turn unless their type gives another timing window.
On the current TCG and OCG Forbidden & Limited lists tracked here, Painful Decision is Unlimited.
YGOPRODeck lists Painful Decision for these formats: Duel Links, Common Charity, TCG, OCG, Master Duel.
A listed print of Painful Decision appears in 2016 Mega-Tin Mega Pack (MP16-EN151) at Secret Rare rarity.
Among markets shown on this page, the lowest listed snapshot for Painful Decision is about $0.26 on Cardmarket (prices change frequently).
