11 entries under cause great distress topic. ×

6
distressfully(adverb, painfully)
6
grievously(adverb, painfully)
6
woefully(adverb, painfully)
4
deplorably
4
heartbreakingly(adverb, painfully, wretchedly, unbearably, excruciatingly)
4
lamentably
3
unfortunately
2
heartrendingly(adverb, tragically)
2
regrettably
1
tragical
1
tragically
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APASmart Define. (2015). distressingly thesaurus. Retrieved September 29, 2026, from https://smartdefine.org/distressingly/thesaurus/synonyms
ChicagoSmart Define. 2015. "distressingly thesaurus" https://smartdefine.org/distressingly/thesaurus/synonyms (accessed September 29, 2026).
HarvardSmart Define 2015, distressingly thesaurus, Smart Define, viewed 29 September, 2026, <https://smartdefine.org/distressingly/thesaurus/synonyms>.
MLASmart Define. "distressingly thesaurus" 14 April 2015. Web. 29 September 2026. <https://smartdefine.org/distressingly/thesaurus/synonyms>