11 entries under cause great distress topic. ×

19
unfortunately(adverb, sadly, adversely, alas, unluckily)
12
grievously(adverb, greatness, painfully, adversely)
10
lamentably(adverb, greatness, with sadness)
8
distressfully(adverb, painfully, adversely)
7
deplorably
7
tragically(adverb, adversely)
6
distressingly(adverb, painfully)
5
regrettably(adverb, with sadness)
1
heartbreakingly
1
heartrendingly
1
tragical
10 years ago|5.5k views|share |citing 
APASmart Define. (2015). woefully thesaurus. Retrieved October 1, 2026, from https://smartdefine.org/woefully/thesaurus/synonyms
ChicagoSmart Define. 2015. "woefully thesaurus" https://smartdefine.org/woefully/thesaurus/synonyms (accessed October 1, 2026).
HarvardSmart Define 2015, woefully thesaurus, Smart Define, viewed 1 October, 2026, <https://smartdefine.org/woefully/thesaurus/synonyms>.
MLASmart Define. "woefully thesaurus" 26 November 2015. Web. 1 October 2026. <https://smartdefine.org/woefully/thesaurus/synonyms>