80 entries under painful topic. ×

47
dreadful(adjective, pain, awful, terrible, fear)
38
grievous(adjective, hard, severe, difficult, tender)
34
awful(adjective, bad, awful, terrible, fear)
31
cruel(adjective, hard, difficult, unpleasant, awful)
31
severe(adjective, hard, difficult, complex)
27
terrible(adjective, bad, awful, fear, horrible)
25
sore(adjective, hard, difficult, complex)
25
unbearable(adjective, hard, difficult, complex)
24
arduous(adjective, hard, difficult, complex)
24
hard(adjective, difficult, tender, unpleasant, complex)
22
disturbing(adjective, hard, severe, difficult, unpleasant)
20
extreme(adjective, sickness, ache, convention)
20
sensitive(adjective, hard, difficult, complex)
18
rugged(adjective, hard, difficult, unpleasant, complex)
17
disastrous(adjective, awful, terrible, miserable)
15
bad(adjective, unpleasant, awful, terrible, vicious)
14
distressing(adjective, severe, tender, unpleasant, awful)
13
calamitous(adjective, severe, unpleasant, awful, terrible)
13
catastrophic(adjective, awful, terrible, miserable)
12
woeful(adjective, unpleasant, awful, terrible, miserable)
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APASmart Define. (2016). dire thesaurus. Retrieved September 29, 2026, from https://smartdefine.org/dire/thesaurus/synonyms
ChicagoSmart Define. 2016. "dire thesaurus" https://smartdefine.org/dire/thesaurus/synonyms (accessed September 29, 2026).
HarvardSmart Define 2016, dire thesaurus, Smart Define, viewed 29 September, 2026, <https://smartdefine.org/dire/thesaurus/synonyms>.
MLASmart Define. "dire thesaurus" 24 March 2016. Web. 29 September 2026. <https://smartdefine.org/dire/thesaurus/synonyms>