Sure, wrestling is scripted and choreographed to an extent, but it's safe to say that there's nothing fake about this.

Last night on Monday Night Raw, Seth Rollins was wrestling John Cena. At one point during the match, Rollins kneed Cena in the face. IN THE FAAAAACE! It was evident pretty quickly that Cena was in a great deal of pain, which was made even more clear when the camera zoomed in on his face and got a close-up of his leaky, disfigured nose. However, in spite of the great deal of pain Cena must have been in, he still managed to hold his own against Seth Rollins.