3
distressingly(adverb, cause great distress)
3
grievously(adverb, cause great distress)
3
heartbreakingly(adverb, cause great distress)
3
tragically(adverb, cause great distress)
3
unfortunately(adverb, cause great distress)
2
deplorably(adverb, cause great distress)
2
woefully(adverb, cause great distress)
1
affectingly
1
atrociously
1
catastrophically
1
dangerously
1
distressfully(adverb, cause great distress)
1
emotively
1
flagitiously
1
gravely
1
heinously
1
lamentably(adverb, cause great distress)
1
movingly
1
painfully
1
pathetically
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APASmart Define. (2013). heartrendingly thesaurus. Retrieved September 20, 2026, from https://smartdefine.org/heartrendingly/thesaurus/synonyms
ChicagoSmart Define. 2013. "heartrendingly thesaurus" https://smartdefine.org/heartrendingly/thesaurus/synonyms (accessed September 20, 2026).
HarvardSmart Define 2013, heartrendingly thesaurus, Smart Define, viewed 20 September, 2026, <https://smartdefine.org/heartrendingly/thesaurus/synonyms>.
MLASmart Define. "heartrendingly thesaurus" 19 May 2013. Web. 20 September 2026. <https://smartdefine.org/heartrendingly/thesaurus/synonyms>