This Is Gonna Hurt is the second studio album by Sixx:A.M., a side project of Mötley Crüe bassist Nikki Sixx, released on May 3, 2011. The band also features lead vocalist James Michael and current Guns N' Roses guitarist DJ Ashba.

Like the first album which served as a companion soundtrack to Nikki Sixx' first book The Heroin Diaries: A Year in the Life of a Shattered Rock Star, this album is a companion to the book of the same name, Sixx' second book, which was released on April 12, 2011.