A system comprising: stimulation generation circuitry configured to generate and deliver electrical stimulation therapy to a patient; and processing circuitry configured to control the stimulation generation circuitry to: generate a plurality of electrical stimulation pulses (102A, 102B, 102C, 102D) having a duty cycle in a range of about 5% to about 50%, wherein the plurality of electrical stimulation pulses have a stimulation intensity less than at least one of a perception threshold or a paresthesia threshold of a patient; deliver a first electrical stimulation pulse (102A, 102B, 102C) of the plurality of electrical stimulation pulses (102A, 102B, 102C, 102D) to the patient; subsequent to delivering the first electrical stimulation pulse (102A, 102B, 102C), deliver a second electrical stimulation pulse (102B, 102C, 102D) of the plurality of electrical stimulation pulses (102A, 102B, 102C, 102D) to the patient; and subsequent to delivering the first pulse (102A, 102B, 102C) and the second pulse (102B, 102C, 102D), deliver one or more recharge pulses (104A, 104B, 104C, 104D) for at least the first electrical stimulation pulse (102A, 102B, 102C) and the second electrical stimulation pulse (102B, 102C, 102D). stimulation generation circuitry configured to generate and deliver electrical stimulation therapy to a patient; and processing circuitry configured to control the stimulation generation circuitry to: generate a plurality of electrical stimulation pulses (102A, 102B, 102C, 102D) having a duty cycle in a range of about 5% to about 50%, wherein the plurality of electrical stimulation pulses have a stimulation intensity less than at least one of a perception threshold or a paresthesia threshold of a patient; deliver a first electrical stimulation pulse (102A, 102B, 102C) of the plurality of electrical stimulation pulses (102A, 102B, 102C, 102D) to the patient; subsequent to delivering the first electrical stimulation pulse (102A, 102B, 102C), deliver a second electrical stimulation pulse (102B, 102C, 102D) of the plurality of electrical stimulation pulses (102A, 102B, 102C, 102D) to the patient; and subsequent to delivering the first pulse (102A, 102B, 102C) and the second pulse (102B, 102C, 102D), deliver one or more recharge pulses (104A, 104B, 104C, 104D) for at least the first electrical stimulation pulse (102A, 102B, 102C) and the second electrical stimulation pulse (102B, 102C, 102D). generate a plurality of electrical stimulation pulses (102A, 102B, 102C, 102D) having a duty cycle in a range of about 5% to about 50%, wherein the plurality of electrical stimulation pulses have a stimulation intensity less than at least one of a perception threshold or a paresthesia threshold of a patient; deliver a first electrical stimulation pulse (102A, 102B, 102C) of the plurality of electrical stimulation pulses (102A, 102B, 102C, 102D) to the patient; subsequent to delivering the first electrical stimulation pulse (102A, 102B, 102C), deliver a second electrical stimulation pulse (102B, 102C, 102D) of the plurality of electrical stimulation pulses (102A, 102B, 102C, 102D) to the patient; and subsequent to delivering the first pulse (102A, 102B, 102C) and the second pulse (102B, 102C, 102D), deliver one or more recharge pulses (104A, 104B, 104C, 104D) for at least the first electrical stimulation pulse (102A, 102B, 102C) and the second electrical stimulation pulse (102B, 102C, 102D).