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The phrase "a pained reflection" is correct and usable in written English.
It can be used to describe a thoughtful or contemplative consideration that is accompanied by feelings of sadness or regret.
Example: "As she looked back on her past decisions, she couldn't help but feel a pained reflection on the choices that had led her to this moment."
Alternatives: "a sorrowful contemplation" or "a troubled introspection."
Exact(1)
Such a pained reflection has been given rise to by a thorough if at intervals dozy reading of "The Complete Novels" by the above-named, as published by Everyman's Library in its fine format, not less than eight hundred pages (counting the front matter) of wee Bembo type bound in glorious red covers with a sewn-in bookmark of golden fabric ($25).
Similar(59)
His face assumed a pained expression.
He wore a pained expression.
Johnson looks up with a pained expression.
Little wonder Tony Pulis is wearing such a pained expression".
There was no reply but a pained expression.
The crucial word is slightly – not a pained expression as if reading fine print.
The television camera fixed on him, alone in left field, a pained expression on his face.
On his face, he wears a pained expression.
Suddenly, a pained expression took shape.
Though the show's writers try to achieve catharsis through laughter, they forget that catharsis only comes after a process of pained reflection; the growing proportion of viewers who watch "The Daily Show" at the expense of other news sources may be skipping a step.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com