11 entries under cause great distress topic. ×

25
unfortunately(adverb, sadly, unhappily, alas, unluckily)
10
grievously(adverb, greatness, by bad luck)
10
regrettably(adverb, gloomily, miserably, unfortunately, by bad luck)
10
woefully(adverb, greatness, with sadness)
9
deplorably
4
distressingly
3
distressfully
3
tragically(adverb, unfortunately)
1
heartbreakingly
1
heartrendingly
1
tragical
11 years ago|2.7k views|share |citing 
APASmart Define. (2015). lamentably thesaurus. Retrieved October 1, 2026, from https://smartdefine.org/lamentably/thesaurus/synonyms
ChicagoSmart Define. 2015. "lamentably thesaurus" https://smartdefine.org/lamentably/thesaurus/synonyms (accessed October 1, 2026).
HarvardSmart Define 2015, lamentably thesaurus, Smart Define, viewed 1 October, 2026, <https://smartdefine.org/lamentably/thesaurus/synonyms>.
MLASmart Define. "lamentably thesaurus" 14 April 2015. Web. 1 October 2026. <https://smartdefine.org/lamentably/thesaurus/synonyms>