I had a lot of head pain in my first few severe years. But overall I don't have a lot of pain. But when I do I mainly get pain in my hands if I do too much typing, writing, or handcrafts etc. I do get some pelvic pressure pain at times, also headache and sinus pain. Some muscle pain or shooting pains at times. And I get pain behind my eyes, the muscles feel affected there. I'm bound to have missed some more types of pain.
But the weakness is over and above the worst. When it's severe it is overwhelming and agonizing. Too sick and weak to make meals or do anything. I had hoped about 5 years ago that this severe weakness was behind me as I had made quite a lot of progress to moderate ME and had seemed stable there for quite a few years but it wasn't to be. I have had 5 bouts of severe since 2012.