40
sore(adjective, hard, rough, difficult, delicate)
39
severe(adjective, bad, hard, tough, sharp)
38
grievous(adjective, hard, tough, severe, rough)
37
cruel(adjective, hard, nasty, difficult, pain)
34
nasty(adjective, bad, hard, difficult, offensive)
31
difficult(adjective, hard, complex, arduous, agonizing)
31
excruciating(adjective, hard, severe, evil, sharp)
30
arduous(adjective, hard, difficult, complex, agonizing)
30
hard(adjective, evil, rough, nasty, difficult)
30
agonizing(adjective, hard, moving, severe, sharp)
29
disturbing(adjective, hard, moving, severe, difficult)
29
sensitive(adjective, hard, hurt, difficult, tender)
29
laborious(adjective, hard, difficult, complex, arduous)
29
unbearable(adjective, hard, difficult, complex, endured)
28
dire(adjective, hard, severe, difficult, tender)
27
distressing(adjective, moving, tough, severe, rough)
27
oppressive(adjective, hard, difficult, complex)
27
tough(adjective, bad, hard, severe, difficult)
27
trying(adjective, hard, difficult, complex, agonizing)
26
burdensome(adjective, hard, difficult, complex)
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APASmart Define. (2015). painful thesaurus. Retrieved September 20, 2026, from https://smartdefine.org/painful/thesaurus/synonyms
ChicagoSmart Define. 2015. "painful thesaurus" https://smartdefine.org/painful/thesaurus/synonyms (accessed September 20, 2026).
HarvardSmart Define 2015, painful thesaurus, Smart Define, viewed 20 September, 2026, <https://smartdefine.org/painful/thesaurus/synonyms>.
MLASmart Define. "painful thesaurus" 21 July 2015. Web. 20 September 2026. <https://smartdefine.org/painful/thesaurus/synonyms>