The sufferer: this might include feigning or exaggerating illness, playing on an injury, or perhaps causing or inviting injury, in extreme cases going as far as losing a limb. Severe cases may meet the diagnostic criteria for Munchausen Syndrome (also know as Factitious Disorder). The illness or injury becomes a vehicle for gaining sympathy and thus attention. The attention-seeker excels in manipulating people through their emotions, especially that of guilt. It's very difficult not to feel sorry for someone who relates a plausible tale of suffering in a sob story or "poor me" drama.