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