Agony vs Anguish vs Distress vs Pain vs Suffering vs Torment

When to use each in English, with meaning, register, and examples.

Agony

Top 3,000 (common)

Anguish

FormalTop 5,000 (fairly common)

Distress

Beyond 10,000 (less common)C1noun

Pain

Top 1,000 (very common)A2noun

Suffering

Top 1,000 (very common)B2noun

Torment

Top 5,000 (fairly common)B1noun
Most formal: Anguish
 AgonyAnguishDistressPainSufferingTorment
Pronunciation🇬🇧 //ˈæɡəni//🇺🇸 //ˈæɡəni//🇬🇧 //ˈæŋɡwɪʃ//🇺🇸 //ˈæŋɡwɪʃ//🇬🇧 //dɪsˈtrɛs//🇺🇸 //dɪsˈtrɛs//🇬🇧 /["/peɪn/"]/🇺🇸 /["/peɪn/"]/🇬🇧 /["/ˈsʌfərɪŋ/"]/🇺🇸 /["/ˈsʌfərɪŋ/"]/🇬🇧 //ˈtɔː.mɛnt//🇺🇸 //ˈtɔːr.mɛnt//
MeaningVery severe pain or suffering.Extreme sadness or pain.Great worry or suffering.unpleasant feeling or discomfort in the bodyThe experience of pain or distress.extreme pain or suffering
ExampleHe screamed in agony after breaking his leg.She cried out in anguish after receiving the bad news.The news caused her great distress.She felt a sharp pain in her knee after the fall.Death finally brought an end to her suffering.The constant criticism was a source of great torment for her.
RegisterNeutralFormalNeutralNeutralNeutralNeutral
How commonTop 3,000 (common)Top 5,000 (fairly common)Beyond 10,000 (less common)Top 1,000 (very common)Top 1,000 (very common)Top 5,000 (fairly common)
CEFR level--C1A2B2B1
Part of speechnounnounnounnoun
Collocationsin agony, agony of defeat, silent agony, emotional agony, physical agonyanguish of childbirth, anguish over loss, anguish in silence, feel anguish, express anguishemotional distress, signs of distress, in distress, cause distress, face distressacute, agonizing, awful, spasm, stab, be in, be racked with, experience, begin, come, occur, control, management, relief, pain in, aches and pains, a cry of pain, a threshold for pain, great, immense, intense, cause (somebody), give somebody, inflict, the pain etched on somebody’s faceenormous, great, immense, amount, degree, level, cause (somebody), inflict, increase, pain and suffering, enormous, great, immense, amount, degree, level, cause (somebody), inflict, increase, pain and sufferingmental torment, physical torment, torture and torment, live in torment, feel torment
Antonymscomfort, ease, reliefjoy, happiness, comfortcomfort, relief, easepleasure, comfort, well-beingcomfort, relief, well-beingcomfort, relief, pleasure
Common mistakesConfusing 'agony' with 'anguish' - while similar, 'anguish' often refers to emotional suffering., Using 'agony' for minor discomfort - it's reserved for significant pain., Mixing up 'agony' with 'gloom' - 'gloom' refers to sadness, not pain.Confused with 'anguish' vs 'anguished' (the adjective form), Overused in casual contexts where 'pain' or 'sadness' might be more appropriate, Spelled incorrectly as 'anguise'Confused with 'stress' - 'distress' is more intense and negative., Used incorrectly in the plural form - 'distress' is usually uncountable., Misinterpreted as physical pain - it primarily refers to emotional suffering.Confused with 'gain', often misspoke as 'pain' when meaning something positive., Using inappropriately in casual contexts, like joking about serious conditions., Mixing up with 'ache', which denotes a less intense sensation.Using 'suffering' as a verb instead of 'suffer'., Confusing 'suffering' with 'sufferings' (the latter is usually used in a different context).Confusing 'torment' with 'torture' – 'torture' has a stronger, more physical connotation., Using 'torment' in sentences without the right context, especially in casual settings., Mispronouncing the word, leading to misunderstandings.
Usage notesUsed in both formal and informal contexts, often to describe extreme physical or emotional pain. Avoid in casual conversation unless discussing intense feelings.Use 'anguish' in serious or emotional contexts. It's often found in literature and formal writing, less in casual conversation.Use 'distress' to describe emotional pain or anxiety. Avoid informal contexts; 'distress' fits well in psychological or medical discussions.Used in both formal and informal contexts. Avoid using it lightly; can be serious when discussing medical issues.Used in both formal and informal contexts. It can describe physical or emotional pain. Be careful not to confuse it with 'suffer', which is the verb form.Use 'torment' to describe severe emotional or physical suffering. It's neutral, suitable for both written and spoken contexts.

See it in real clips

Agony
Anguish
Pain

Frequently asked questions: Agony vs Anguish vs Distress vs Pain vs Suffering vs Torment

What's the difference between Agony, Anguish, Distress, Pain, Suffering, and Torment?

Agony: Very severe pain or suffering. Anguish: Extreme sadness or pain. Distress: Great worry or suffering. Pain: unpleasant feeling or discomfort in the body Suffering: The experience of pain or distress. Torment: extreme pain or suffering

Which is more formal: Agony, Anguish, Distress, Pain, Suffering, and Torment?

Anguish is the most formal of these.

Which is more advanced: Agony, Anguish, Distress, Pain, Suffering, and Torment?

Distress is the highest level, at C1, on the CEFR scale.

Can you show an example of each?

Agony: He screamed in agony after breaking his leg. Anguish: She cried out in anguish after receiving the bad news. Distress: The news caused her great distress. Pain: She felt a sharp pain in her knee after the fall. Suffering: Death finally brought an end to her suffering. Torment: The constant criticism was a source of great torment for her.

Can I use Agony, Anguish, Distress, Pain, Suffering, and Torment interchangeably?

Not always. Agony, Anguish, Distress, Pain, Suffering, and Torment are related and overlap in some contexts, but they differ in register, how common they are, and usage, so swapping one for another can change the meaning or tone. Check the differences above before substituting.