3
rigorously(adverb, fast, sprightly, severely, seriously)
3
roughly(adverb, fast, badly, sprightly, severely)
3
terribly(adverb, greatness)
3
uncomfortably(adverb, anxiously, awkwardly, unpleasantly, nervously)
3
unfortunately
3
unhappily
2
acutely
2
fearfully(adverb, greatness)
2
grossly
2
hurtfully
2
inconveniently
2
irksomely
2
madly(adverb, fast, sprightly, severely, seriously)
2
piercingly
2
piteously
2
ruefully
2
sharply(adverb, fast, sprightly, severely, seriously)
2
shockingly
2
stingingly
2
tryingly
11 years ago|5.5k views|share |citing 
APASmart Define. (2015). painfully thesaurus. Retrieved September 23, 2026, from https://smartdefine.org/painfully/thesaurus/synonyms
ChicagoSmart Define. 2015. "painfully thesaurus" https://smartdefine.org/painfully/thesaurus/synonyms (accessed September 23, 2026).
HarvardSmart Define 2015, painfully thesaurus, Smart Define, viewed 23 September, 2026, <https://smartdefine.org/painfully/thesaurus/synonyms>.
MLASmart Define. "painfully thesaurus" 14 April 2015. Web. 23 September 2026. <https://smartdefine.org/painfully/thesaurus/synonyms>