pivotal (adj.)
- acute
- axial
- capital
- cardinal
- causal
- causative
- central
- centralized
- centric
- centroidal
- centrosymmetric
- charged
- clamorous
- compelling
- concentrated
- constitutive
- critical
- crucial
- crying
- decisive
- determinative
- effectual
- emergent
- essential
- etiological
- exigent
- focal
- formative
- geocentric
- high-pressure
- imperative
- imperious
- important
- insistent
- instant
- key
- loaded
- middle
- middlemost
- midmost
- momentous
- occasional
- originative
- overriding
- pregnant
- pressing
- principal
- radical
- ruling
- significant
- umbilical
- urgent
- vital