The issue says it's Doom hurting a Watcher that draws the Living Tribunal's intention, but even that sounds small-scale.

In many way, this issue felt like a revenge fantasy. It's okay to beat up the bad guy, because he's evil! But the worst pain is emotional, so have some emotional torment too!

Cutting out the Living Tribunal would have made the issue so much better. (Unrelated, but fyi, Doom's been in Iron Man: Fatal Frontier and there's a Doombot in Avengers AI.)