acute afflictive agonizing atrocious biting consuming cramping cruel desolating distressful distressing exquisite extreme gnawing grave griping hard harrowing harsh heartbreaking heartrending heartsickening heartwounding hurtful hurting insufferable intense keen painful paroxysmal piercing poignant pungent racking rending severe sharp shooting spasmatic spasmic spasmodic stabbing stinging tearing tormenting torturing torturous unbearable unendurable vivid