Answer:
He was in terrible pain.
Step-by-step explanation:
This is because, in this context, if you use "at" it would be referring to a particular place, instead of a feeling. It would not have been grammatically correct.
Hope this helps.
'at' is usually used in case of places .
So,
He was in terrible pain, is grammatically correct.
Hope it helps!
Have a nice day:)
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