How much do cartilage piercings hurt?

I'm considering getting a spiral-type piercing, which would probably involve getting two holes in my helix. However, the only other piercings I've ever gotten done are in the lobes of my ears. So I'm looking for kind of a general idea of how much it hurts. I'm totally fine with shots and IVs from the doctor if that makes any difference. Thanks for your help!

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