diff --git a/src/game/monster/insane/insane.c b/src/game/monster/insane/insane.c
index 3008ec80..61779f48 100644
--- a/src/game/monster/insane/insane.c
+++ b/src/game/monster/insane/insane.c
@@ -27,6 +27,8 @@
 #include "../../header/local.h"
 #include "insane.h"
 
+#define SPAWNFLAG_CRUSIFIED		8
+
 static int sound_fist;
 static int sound_shake;
 static int sound_moan;
@@ -62,6 +64,12 @@ insane_moan(edict_t *self)
 		return;
 	}
 
+	/* suppress screaming so pain sound can play */
+	if (self->delay > level.time)
+	{
+		return;
+	}
+
 	gi.sound(self, CHAN_VOICE, sound_moan, 1, ATTN_IDLE, 0);
 }
 
@@ -73,6 +81,12 @@ insane_scream(edict_t *self)
 		return;
 	}
 
+	/* suppress screaming so pain sound can play */
+	if (self->delay > level.time)
+	{
+		return;
+	}
+
 	gi.sound(self, CHAN_VOICE, sound_scream[randk() % 8], 1, ATTN_IDLE, 0);
 }
 
@@ -682,13 +696,16 @@ insane_pain(edict_t *self, edict_t *other /* unused */,
 	gi.sound(self, CHAN_VOICE, gi.soundindex(va("player/male/pain%i_%i.wav",
 							l, r)), 1, ATTN_IDLE, 0);
 
+	/* suppress screaming and moaning for 1 second so pain sound plays */
+	self->delay = level.time + 1;
+
 	if (skill->value == 3)
 	{
 		return; /* no pain anims in nightmare */
 	}
 
 	/* Don't go into pain frames if crucified. */
-	if (self->spawnflags & 8)
+	if (self->spawnflags & SPAWNFLAG_CRUSIFIED)
 	{
 		self->monsterinfo.currentmove = &insane_move_struggle_cross;
 		return;
@@ -772,7 +789,7 @@ insane_stand(edict_t *self)
 		return;
 	}
 
-	if (self->spawnflags & 8) /* If crucified */
+	if (self->spawnflags & SPAWNFLAG_CRUSIFIED) /* If crucified */
 	{
 		self->monsterinfo.currentmove = &insane_move_cross;
 		self->monsterinfo.aiflags |= AI_STAND_GROUND;
@@ -801,7 +818,7 @@ insane_dead(edict_t *self)
 		return;
 	}
 
-	if (self->spawnflags & 8)
+	if (self->spawnflags & SPAWNFLAG_CRUSIFIED)
 	{
 		self->flags |= FL_FLY;
 	}
@@ -862,7 +879,7 @@ insane_die(edict_t *self, edict_t *inflictor /* unused */,
 	self->deadflag = DEAD_DEAD;
 	self->takedamage = DAMAGE_YES;
 
-	if (self->spawnflags & 8)
+	if (self->spawnflags & SPAWNFLAG_CRUSIFIED)
 	{
 		insane_dead(self);
 	}
@@ -945,7 +962,7 @@ SP_misc_insane(edict_t *self)
 
 	self->monsterinfo.scale = MODEL_SCALE;
 
-	if (self->spawnflags & 8) /* Crucified ? */
+	if (self->spawnflags & SPAWNFLAG_CRUSIFIED) /* Crucified ? */
 	{
 		VectorSet(self->mins, -16, 0, 0);
 		VectorSet(self->maxs, 16, 8, 32);