| No. | Item | Definition |
|---|---|---|
| 1. | acute | Sharp, severe, and intense. |
| 2. | afflicted | Troubled by pain or distress. |
| 3. | agonizing | Causing extreme pain or distress. |
| 4. | anguished | Filled with severe mental pain. |
| 5. | appalling | Shockingly bad or distressing. |
| 6. | arduous | Very difficult and tiring. |
| 7. | atrocious | Extremely bad or unpleasant. |
| 8. | awful | Very bad or painful. |
| 9. | backbreaking | Extremely hard and exhausting. |
| 10. | biting | Sharp, harsh, or painful. |
| 11. | blistering | Intensely harsh or painful. |
| 12. | brutal | Extremely harsh or painful. |
| 13. | burdensome | Difficult to bear or manage. |
| 14. | burning | Painful like fire or heat. |
| 15. | crippling | Severely damaging or disabling. |
| 16. | cruel | Causing suffering without mercy. |
| 17. | crushing | Overwhelmingly painful or discouraging. |
| 18. | debilitating | Weakening and exhausting. |
| 19. | deeply painful | Causing great pain. |
| 20. | devastating | Causing severe shock or grief. |
| 21. | dire | Extremely serious or dreadful. |
| 22. | distressing | Causing anxiety, pain, or sorrow. |
| 23. | dreadful | Extremely bad or unpleasant. |
| 24. | exhausting | Extremely tiring. |
| 25. | extreme | Very great in degree. |
| 26. | fearsome | Frighteningly intense or severe. |
| 27. | ferocious | Extremely intense or violent. |
| 28. | fierce | Intense and forceful. |
| 29. | frightful | Very bad or frightening. |
| 30. | ghastly | Shockingly unpleasant or upsetting. |
| 31. | gnawing | Persistent and painful or worrying. |
| 32. | grievous | Severe and causing suffering. |
| 33. | grim | Harsh, serious, and unpleasant. |
| 34. | grueling | Extremely exhausting and demanding. |
| 35. | gut-wrenching | Causing intense emotional distress. |
| 36. | harrowing | Extremely distressing or disturbing. |
| 37. | heartbreaking | Causing overwhelming sadness. |
| 38. | heartrending | Extremely upsetting or moving. |
| 39. | hellish | Extremely unpleasant or painful. |
| 40. | hideous | Extremely unpleasant or painful. |
| 41. | horrendous | Extremely unpleasant or shocking. |
| 42. | horrible | Very unpleasant or painful. |
| 43. | horrific | Causing horror or great distress. |
| 44. | insufferable | Too unpleasant to tolerate. |
| 45. | intense | Very strong or extreme. |
| 46. | intensely painful | Causing very strong pain. |
| 47. | intolerable | Impossible to endure comfortably. |
| 48. | jolting | Sudden, harsh, and painful. |
| 49. | killer | Extremely difficult or painful. |
| 50. | lacerating | Deeply cutting or painful. |
| 51. | lancinating | Sharp and stabbing in pain. |
| 52. | maddening | Extremely frustrating or distressing. |
| 53. | merciless | Extremely severe or unforgiving. |
| 54. | miserable | Extremely unhappy or uncomfortable. |
| 55. | murderous | Extremely difficult or severe. |
| 56. | nasty | Very unpleasant or painful. |
| 57. | nerve-racking | Extremely stressful or worrying. |
| 58. | nightmarish | Terrible and deeply distressing. |
| 59. | onerous | Burdensome and difficult. |
| 60. | oppressive | Harsh and difficult to endure. |
| 61. | overwhelming | Too intense to cope with. |
| 62. | pain-ridden | Filled with pain. |
| 63. | pain-wracked | Tormented by severe pain. |
| 64. | painful | Causing physical or emotional pain. |
| 65. | piercing | Sharp and intensely painful. |
| 66. | pitiless | Harsh and without compassion. |
| 67. | punishing | Extremely harsh or demanding. |
| 68. | racked | Tormented by pain or distress. |
| 69. | racking | Causing severe pain or strain. |
| 70. | relentless | Continuing without mercy or relief. |
| 71. | remorseless | Harsh and without relief. |
| 72. | savage | Extremely fierce, harsh, or painful. |
| 73. | scorching | Intensely hot or painful. |
| 74. | searing | Intensely painful or burning. |
| 75. | severe | Very intense or serious. |
| 76. | stabbing | Sharp and sudden in pain. |
| 77. | strenuous | Requiring intense effort. |
| 78. | stressful | Causing mental strain or pressure. |
| 79. | stricken | Deeply affected by suffering. |
| 80. | taxing | Demanding great effort or endurance. |
| 81. | terrible | Very bad or distressing. |
| 82. | tormented | Suffering severe mental or physical pain. |
| 83. | tormenting | Causing intense suffering or anguish. |
| 84. | tortured | Suffering intense pain or anguish. |
| 85. | torturous | Involving severe suffering or difficulty. |
| 86. | traumatic | Deeply distressing or emotionally damaging. |
| 87. | trying | Difficult to endure. |
| 88. | unbearable | Too painful or distressing to endure. |
| 89. | unendurable | Impossible to bear. |
| 90. | unpleasant | Not enjoyable; causing discomfort. |
| 91. | unrelenting | Continuing with no easing. |
| 92. | upsetting | Causing emotional distress. |
| 93. | vicious | Harsh, severe, or cruel. |
| 94. | violent | Intensely forceful or severe. |
| 95. | wearing | Tiring and difficult to endure. |
| 96. | withering | Harsh, devastating, or overwhelming. |
| 97. | woeful | Very sad or distressing. |
| 98. | wounding | Causing emotional hurt. |
| 99. | wrenching | Causing intense emotional pain. |
| 100. | wretched | Very unhappy or unpleasant. |