Pain is an elemental inducer of avoidance. Here, we demonstrate that people differ in how they learn to avoid pain, with some individuals refraining from actions that resulted in painful outcomes, whereas others favor actions that helped prevent pain. These individual biases were best explained by differences in learning from outcome prediction errors and were associated with distinct forms of striatal responses to painful outcomes. Specifically, striatal responses to pain were modulated in a manner consistent with an aversive prediction error in individuals who learned predominantly from pain, whereas in individuals who learned predominantly from success in preventing pain, modulation was consistent with an appetitive prediction error. In contrast, striatal responses to success in preventing pain were consistent with an appetitive prediction error in both groups. Furthermore, variation in striatal structure, encompassing the region where pain prediction errors were expressed, predicted participants' predominant mode of learning, suggesting the observed learning biases may reflect stable individual traits. These results reveal functional and structural neural components underlying individual differences in avoidance learning, which may be important contributors to psychiatric disorders involving pathological harm avoidance behavior.avoidance learning | pain | individual differences | striatum | prediction errors P ain conveys vital feedback on our actions, informing us whether an action compromises our safety and should be avoided. However, learning what to avoid doing, rather than what to do, could lead to maladaptive passive risk-avoidant behavior. For instance, when learning to ski, an overreaction to a painful fall could render a person overly cautious and hinder progress in skill acquisition. Likewise, failed investments might lead to an overconservative passive financial strategy, whereas social rejection might engender reclusive behavior. In some individuals, such as those with avoidant personality disorders, refraining too much from potentially harmful actions can manifest as a stable personality trait (1).However, an opposite tendency, to learn predominantly from successful actions that helped avoid harm, might lead to maladaptive active behavior. Thus, in soccer, sporadic success in preventing goals by diving to the left or right before seeing where a penalty kick is heading is sufficient for goalkeepers to overwhelmingly prefer this suboptimal active strategy, when in fact the optimal strategy is to passively stay put (2). In the extreme, excessive repetitive activity so as to avoid harm may constitute compulsivity, a debilitating feature of obsessive-compulsive disorder (3).Complementing previous studies of learning about abstract outcomes (4, 5), we investigated individual biases in learning to avoid pain. To this end, we used a novel gambling task that probes how participants adjust their choices in response to painful electrical shocks and, additionally, how they adjust their choices in response t...