| arduously(adverb, badly, severely, vigorously, hardly) |
| exhaustingly(adverb, badly, severely, vigorously, hardly) |
| tryingly(adverb, painfully) |
| agonizingly(adverb, badly, severely, vigorously, hardly) |
| distressingly(adverb, badly, severely, vigorously, hardly) |
| excruciatingly(adverb, painfully) |
| severely(adverb, painfully) |
| torturously(adverb, painfully) |
| achingly(adverb, painfully) |
| acutely(adverb, painfully) |
| aggravatingly(adverb, painfully) |
| annoyingly(adverb, painfully) |
| awkwardly(adverb, badly, severely, vigorously, hardly) |
| badly(adverb, severely, vigorously, hardly, painfully) |
| bitingly(adverb, painfully) |
| bitterly(adverb, painfully) |
| burdensomely(adverb, badly, severely, vigorously, hardly) |
| carefully(adverb, badly, severely, vigorously, hardly) |
| cruelly(adverb, painfully) |
| cumbersomely(adverb, badly, severely, vigorously, hardly) |