A devotee's cheeks pierced with a metal rod and pulls a car with hooks pierced in his back participates in a religious procession during Panguni Uthiram festival in Ahmedabad, India, Wednesday, April 5, 2023. The festival is observed in the Tamil month of Panguni and is celebrated in honour of the Hindu God Murugan where devotees make offerings to lord Murugan with sacrificial feats they believe will keep them away from evil spirits. (AP Photo/Ajit Solanki)