11 entries under cause great distress topic. ×

14
unfortunately(adverb, sadly, adversely, alas, unluckily)
11
woefully(adverb, greatness, painfully, adversely)
9
distressfully(adverb, painfully, adversely)
9
tragically(adverb, adversely)
8
lamentably(adverb, greatness, unfortunately, unhappily, unluckily)
7
regrettably(adverb, badly, very, unfortunately, dangerously)
5
deplorably
5
distressingly(adverb, painfully)
3
heartbreakingly
1
heartrendingly
1
tragical
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APASmart Define. (2015). grievously thesaurus. Retrieved October 1, 2026, from https://smartdefine.org/grievously/thesaurus/synonyms
ChicagoSmart Define. 2015. "grievously thesaurus" https://smartdefine.org/grievously/thesaurus/synonyms (accessed October 1, 2026).
HarvardSmart Define 2015, grievously thesaurus, Smart Define, viewed 1 October, 2026, <https://smartdefine.org/grievously/thesaurus/synonyms>.
MLASmart Define. "grievously thesaurus" 14 April 2015. Web. 1 October 2026. <https://smartdefine.org/grievously/thesaurus/synonyms>