painfully (adv.)
- abominably
 - agonizingly
 - arduously
 - awfully
 - badly
 - baldly
 - balefully
 - bitterly
 - blatantly
 - brashly
 - confoundedly
 - cruelly
 - damnably
 - deadly
 - deathly
 - deplorably
 - deucedly
 - disagreeably
 - distressfully
 - distressingly
 - dreadfully
 - excessively
 - excruciatingly
 - exorbitantly
 - extravagantly
 - flagrantly
 - frightfully
 - grievously
 - hardly
 - harshly
 - hellishly
 - horribly
 - improperly
 - inexcusably
 - infernally
 - inordinately
 - intolerably
 - laboriously
 - lamentably
 - miserably
 - nakedly
 - openly
 - pathetically
 - piteously
 - pitiably
 - rigorously
 - roughly
 - ruefully
 - sadly
 - severely
 - shockingly
 - sorely
 - staggeringly
 - strenuously
 - terribly
 - torturously
 - unashamedly
 - unbearably
 - unduly
 - unfortunately
 - unhappily
 - unpardonably
 - woefully