It does damage the attacker, but if you do it right then you’re striking a weak point of their body with the strongest part of your head. You don’t, as is often seen in fiction, smack foreheads… that’s just self-harm. A headbutt is aimed at something like the orbital bones, nose or temple, where you can easy break something without taking too much of a hit yourself.
It will still hurt you though.
A properly aimed headbutt isnt just forehead yo forehead. Generally youd want to hit a higher point on your head against a lower point on theirs. As someone else said forehead to nose, but also near the eye can cause significant damage. Also, the one initiating generally has more control over things like bracing their neck muscles for shock absorption.
As Handsome Jack said, “When you headbutt someone, you gotta aim for the nose bridge.”
Another saying I’ve heard before, “When fighting, hit soft locations with hard body parts, and hard locations with soft body parts.” I.E., Aim a fist at the sternum, neck, nose; throw a palm at the face, a shin at the back of the knee, elbow to the upper spinal cord where the brain stem is housed.
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