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This thesis explores the potential of virtual reality with gradual calming elements for managing cold-induced pain. It focuses on designing and evaluating a VR experience by selecting colors, assets, and interactions, integrating them within Unity, and programming gradual element appearance for a seamless and immersive experience. The study includes five experiments: three usability tests and two refined experiments. Three VR conditions were tested; static calming (control), gradual calming with item collection, and dynamic calming with adaptive elements. Results showed that the dynamic VR group had higher pain tolerance and lower heart rates, indicating enhanced calm and focus. In refined experiments, the experimental group exhibited improved SpO2 levels and reduced heart rate, despite increasing pain and cold sensations. These findings highlight the importance of VR design in pain management and the need for controlled experimental conditions to optimize its effectiveness.