Here is a breakdown on the development of this Weak Aura.
https://www.virtualbind.com/2021/06/28/painsmith-raznal-spiked-ball-marker/
This Weak Aura will highlight the nameplate of the center Spiked Ball in the Painsmith fight.
It also has the option to set a Raid Marker on the center Spiked Ball if you have raid assist.