Frequently Asked Questions

Common questions about the Cat Grimace Scale, how to use the tool, and what the score does and does not tell you.

What is the Feline Grimace Scale?

The Feline Grimace Scale, also called the Cat Grimace Scale, is a structured observation method based on published research. It looks at five facial action units: ear position, orbital tightening, muzzle tension, whisker position, and head position. Each feature is scored 0, 1, or 2 against reference images, and the five values are added into a total from 0 to 10. It is designed to make subtle facial changes easier to notice.

Is the Cat Grimace Scale a diagnosis?

No. The scale is an educational observation tool. It cannot diagnose pain, illness, or a specific condition, and it cannot tell you whether a cat needs medication. Many things other than pain change a cat's facial expression, including stress, fear, sleep, and lighting. A score is best used as a prompt to look more carefully and, if needed, to talk with a veterinarian.

How is the score calculated?

Each of the five facial features is scored as 0 for absent, 1 for moderately present, or 2 for markedly present. The five scores are added together to produce a total from 0 to 10. If a feature cannot be seen clearly, it can be left unscored. An incomplete result is treated as partial information rather than a standard total, because the published guidance assumes all five features have been assessed.

What does a score of 4 or higher mean?

Published owner guidance for the Feline Grimace Scale commonly uses a total of 4 or higher as a prompt to contact a veterinarian. The threshold means several facial features appeared changed at the same time. It is not a diagnosis. A lower score does not prove a cat is comfortable, and a higher score does not identify a particular disease.

Can I use the scale without a photo?

Yes. The assessment tool includes a skip option that lets you move through the five comparisons without uploading a photo. Without a photo you have to rely on memory, so the result may be less consistent than working directly from a clear image. If you do upload a photo, it is processed in your browser and is not sent to a server.

Does a low score mean my cat is not in pain?

Not necessarily. The scale only observes the face in one image at one moment. A cat can be unwell and still score low, especially in a blurry, angled, or poorly lit photo. Behavioural signs such as reduced appetite, hiding, or reluctance to move remain important even when the score is low. Trust your knowledge of the cat and contact a veterinarian if anything has changed.

Can stress affect the score?

Yes. Stress and fear can flatten the ears, narrow the eyes, and change whisker and head position, so a frightened cat may score higher even without pain. A clinic, carrier, or unfamiliar visitor can all change the face. The scale works best when the cat is settled in a familiar setting, and the result is read alongside the cat's normal behaviour.

Why are there five features instead of one?

No single facial feature reliably indicates pain. Flattened ears can mean fear, narrowed eyes can mean bright light or sleepiness, and a lowered head can mean the cat is resting. Looking at five features together reduces the risk of overinterpreting one sign and gives a more consistent overall pattern. The individual scores are kept visible for the same reason.

What kind of photo works best?

A clear, front-facing photo in even light works best. Both ears, both eyes, the muzzle, and the whisker area should be visible. Avoid extreme overhead angles, hard shadows, heavy blur, and filters. Photograph the cat when it is awake and settled. If a feature cannot be seen, mark it as not visible instead of guessing.

Is my cat's photo uploaded to a server?

No. The assessment tool processes the photo entirely in your browser using local image processing. The image is not uploaded to an application server, and it is not stored by this website. Results are kept in your browser session. For more detail, see the privacy policy.

About this guide

This page is published by Cat Grimace Scale as general educational information for cat owners. It is not written by a licensed veterinarian and is not a substitute for veterinary diagnosis or advice. Last reviewed: September 2026.

Sources and further reading

Still have a question?

If your question is about how to use the tool, read the step-by-step guide. If you are worried about your cat's health, the best next step is to contact a veterinarian. You can also start an assessment or return to the home page.