Abstract: The invention relates to an adult choke pleasure enhancement adjustable pressure cuff device. Participants can engage in solo autoerotic asphyxiation (AEA) without accidentally suffocating to death. The adjustable cuff is inflatable and sized to encompass a participant's neck and has a timed safety release function. The participant can apply the device at default setting to fit snugly, but not impede blood flow. The participant can inflate the device to the desired level of pressure that would remain at that setting at participant's discretion. They can control what happens and for how long, as long as the participant is not incapacitated. However, if at any time, the controls/settings are not engaged by the participant, the device would automatically default to zero pressure after a set time. The use of the device therefore allows a participant to safely engage in solo AEA without risking injury or death.