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The confused condition causes a Pokémon to hurt itself in its confusion 50% of the time. The damage is done as if the Pokémon attacked itself with a 40-power typeless physical attack.

Confusion wears off after 1-4 attacking turns. This means that turns recharging and turns unable to attack, such as from paralysis, will not lower the remaining number of turns of confusion. However, a sleeping Pokémon may hurt itself in confusion if using a move such as Snore or Sleep Talk. Multi-turn attacks such as Fly and Dive require that confusion be checked both turns, further reducing the chance of successful attack.

Pokémon with the Own Tempo Ability are immune to being confused.