| high-pitched(adjective, sharp, harsh, intense, high) |
| blaring(adjective, strong, sharp, rough, loud) |
| harrowing(adjective, severe, tender, raw, painful) |
| shrewd(adjective, sharp, smart, sensitive, perceptive) |
| stinging(adjective, strong, cool, severe, keen) |
| grating(adjective, loud, shrill) |
| ear-splitting(adjective, strong, vulgar, loud, strident) |
| hurtful(adjective, painful, sickness, ache, anguishes) |
| aching(adjective, painful, sickness, ache, anguishes) |
| arduous(adjective, painful, sickness, ache, anguishes) |
| awful(adjective, painful, sickness, ache, endured) |
| caustic(adjective, feeling, strong, sharp, nasty) |
| dire(adjective, painful, sickness, ache, endured) |
| distressing(adjective, painful, sickness, ache, anguishes) |
| dreadful(adjective, painful, sickness, ache, endured) |
| knifelike(adjective, sharp, big) |
| loud(adjective, sharp, rough, harsh, intense) |
| penetration(noun, act, opening, stab, saturation) |
| puncturing(noun, verb, sharp, harsh, powerful) |
| raucous(adjective, strong, rough, harsh, loud) |