What a breakout involves
A breakout starts with a blocked pore. Dead skin cells and oil build up inside it and form a plug, bacteria multiply in the sealed space that creates, and your immune system responds. The redness and soreness you can see is that response.
So there are four things going on at once: the plug, the excess oil, the bacteria and the inflammation. Most acne ingredients do not tackle them all at once.
How sulfur works
Sulfur addresses all four, and none of them aggressively.
It loosens the plug. Sulfur breaks up the bundle of dead skin cells blocking the pore so the pore can clear itself. Gentler than salicylic acid, working in the same direction.
It absorbs excess oil. Sulfur is a fine powder, and it soaks up the oil sitting on and around a breakout. That is why skin looks less shiny within minutes and why a sulfur mask is so satisfying on an oily day.
It reduces the bacteria involved in acne, which is part of why a spot stops progressing once you put it on.
And it calms inflammation, so the spot comes down and loses its redness rather than sitting there angry for a week.
Put together, that is a breakout being helped to resolve rather than being attacked. The point is a faster, calmer recovery, not stripping your skin.
Why it suits skin prone to redness
This is the part that makes sulfur worth knowing about, and it is unusual for an acne ingredient.
Skin prone to rosacea flushes at the slightest provocation, so the usual acne ingredients tend to make things worse even when they clear the spots. Sulfur reduces inflammation rather than causing it, so it works on the papules and pustules of rosacea without triggering the redness underneath.
There may be a second reason, though the evidence here is thinner and worth taking as such. Everyone has microscopic mites living in their skin, and they are found in greater numbers on rosacea-prone faces, which has led researchers to suggest they play a part in the condition. Some studies have measured sulfur reducing those numbers. Whether that is why it helps is not settled, and the anti-inflammatory effect is the better established explanation.
What is not in doubt is the history. The first sulfur formulation for rosacea was described in 1855, and it has been in continuous use since.
Where sulfur comes from
Sulfur is a mineral, mined from the ground, and it is one of the elements your own body needs. Your skin, hair and nails are built from proteins that contain it, so it is already part of you.
It has been used on skin for thousands of years, in hot springs and sulfur baths long before anyone understood why it helped. The version in skincare is purified and milled very fine so it spreads evenly.