It Only Hurts When I Laugh is an American television series that premiered on TruTV on October 22, 2009. This program showcases hilarious painstaking moments caught on tape. Unlike America's Funniest Home Videos, this one uses a narrator throughout the show, however it is the first truTV show to have laughing audience members in the background, although some footage in the show has real laughter. This show, along with AFV, sometimes uses sound effects for fun.