133 entries under severe topic. ×

38
grievous(adjective, hard, tough, rough)
31
excruciating(adjective, hard, evil, sharp)
30
agonizing(adjective, hard, moving, sharp)
29
disturbing(adjective, hard, moving, difficult)
28
dire(adjective, hard, difficult, tender)
27
distressing(adjective, moving, tough, rough)
27
tough(adjective, bad, hard, difficult)
20
harrowing(adjective, miserable, wretched, anguished)
18
hurtful(adjective, hard, sharp, tender)
17
piercing(adjective, sharp, tender, intense)
17
tormenting(adjective, tender, raw, shocking)
15
unpleasant(adjective, hard, tough, sharp)
15
acute(adjective, sharp, harsh, delicate)
14
burning(adjective, hard, sharp, tender)
14
torturous(adjective, shocking, upsetting, disturbing)
13
awful(adjective, bad, tender, offensive)
13
terrible(adjective, harsh, tender, intense)
12
harsh(adjective, hard, tough, evil)
12
troublesome(adjective, hard, tough, upsetting)
11
bad(adjective, pain, offensive, unpleasant)
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APASmart Define. (2015). painful thesaurus. Retrieved September 28, 2026, from https://smartdefine.org/painful/thesaurus/synonyms
ChicagoSmart Define. 2015. "painful thesaurus" https://smartdefine.org/painful/thesaurus/synonyms (accessed September 28, 2026).
HarvardSmart Define 2015, painful thesaurus, Smart Define, viewed 28 September, 2026, <https://smartdefine.org/painful/thesaurus/synonyms>.
MLASmart Define. "painful thesaurus" 21 July 2015. Web. 28 September 2026. <https://smartdefine.org/painful/thesaurus/synonyms>