11 entries under cause great distress topic. ×

3
distressingly
3
grievously
3
heartbreakingly
3
tragically
3
unfortunately
2
deplorably
2
woefully
1
distressfully
1
lamentably
1
regrettably
1
tragical
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APASmart Define. (2013). heartrendingly thesaurus. Retrieved September 30, 2026, from https://smartdefine.org/heartrendingly/thesaurus/synonyms
ChicagoSmart Define. 2013. "heartrendingly thesaurus" https://smartdefine.org/heartrendingly/thesaurus/synonyms (accessed September 30, 2026).
HarvardSmart Define 2013, heartrendingly thesaurus, Smart Define, viewed 30 September, 2026, <https://smartdefine.org/heartrendingly/thesaurus/synonyms>.
MLASmart Define. "heartrendingly thesaurus" 19 May 2013. Web. 30 September 2026. <https://smartdefine.org/heartrendingly/thesaurus/synonyms>