If you notice hard pimples on your face that are painful when pressed, it could be a sign of inflammatory acne. This type of acne, due to its pronounced inflammatory response, may cause localized redness, swelling, heat, and pain, leading to discomfort when touched. It could also be cystic acne or nodular acne, both of which involve inflammatory infiltration, resulting in hard pimples and noticeable pain upon pressure. Regardless of the specific cause, anti - inflammatory and anti - infection treatments are necessary. Typically, you can apply topical treatments like Fusidic Acid Cream or Mupirocin Ointment to reduce inflammation. Additionally, oral antibiotics such as Doxycycline may be prescribed.