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anguish

noun/ˈæŋɡwɪʃ/

B2CEFR level
25/100Rarity: fairly common
NeutralRegister

Severe mental or physical pain and suffering.

You could hear the anguish in her voice as she described the moment she learned of the accident.

Similar: torment, agony, distress

Topic: Emotion & the inner life in General English

Rarity runs from 0 (a word everyone knows) to 100 (almost never seen outside specialist or literary writing). Level is the word's real difficulty on the CEFR scale, from A1 to C2.

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More general words: Emotion & the inner life