8
painfully(adverb, painfully)
7
agonizingly(adverb, badly, severely, vigorously, hardly)
6
distressfully(adverb, painfully, cause great distress)
6
grievously(adverb, painfully, cause great distress)
6
woefully(adverb, painfully, cause great distress)
5
sorely(adverb, painfully)
5
unbearably(adverb, painfully)
4
achingly(adverb, painfully)
4
cruelly(adverb, painfully)
4
deplorably(adverb, cause great distress)
4
excruciatingly(adverb, painfully)
4
hard(badly, hardly, harshly)
4
heartbreakingly(adverb, painfully, wretchedly, unbearably, excruciatingly)
4
lamentably(adverb, cause great distress)
4
miserably(adverb, painfully)
4
sadly(adverb, severely, thoroughly, completely, intensely)
4
shockingly(adverb, appallingly, terrifyingly, horrifically)
4
unpleasantly(adverb, painfully)
3
annoyingly(adverb, painfully)
3
bitterly(adverb, painfully)
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APASmart Define. (2015). distressingly thesaurus. Retrieved September 20, 2026, from https://smartdefine.org/distressingly/thesaurus/synonyms
ChicagoSmart Define. 2015. "distressingly thesaurus" https://smartdefine.org/distressingly/thesaurus/synonyms (accessed September 20, 2026).
HarvardSmart Define 2015, distressingly thesaurus, Smart Define, viewed 20 September, 2026, <https://smartdefine.org/distressingly/thesaurus/synonyms>.
MLASmart Define. "distressingly thesaurus" 14 April 2015. Web. 20 September 2026. <https://smartdefine.org/distressingly/thesaurus/synonyms>