That's painfully true.

Tom was painfully thin.

He was painfully thin.

She was painfully skinny.

Isn't it painfully obvious, doctor?

On that day hearts beat painfully

Rather than go painfully and slowly ...

I will kill you slowly and painfully.

Filled up the time passionately and painfully

The sudden glare impinged painfully on his eyes.

Hundreds of thousands of people were exterminated, slowly and painfully.

I wanted so badly to see you die slowly. Painfully!

Now, this change is happening slowly and kind of painfully, but it's happening.

Many times after displaying the sometimes painfully personal, but inspiring Pulitzer story, A Mother's Journey ,

Why don't you finish and go? said the rigid figure, evidently in a state of painfully suppressed rage.

O thou man! Verily thou art ever toiling on towards thy Lord painfully toiling, but thou shalt meet Him.

Life breaks free. Expands to new territories and it crashes through barriers, painfully, maybe even dangerously, but there it is.

China, over the same time period, went in exactly the opposite direction, very painfully holding this huge civilization, civilization state, together.

I've come here every day now for two decades... . ..painfully picking up a few of the least difficult fragments of their knowledge.

The tiny legs on one side hung twitching in the air above, and the ones on the other side were pushed painfully into the floor.

And it very slowly, over a few minutes, sort of painfully goes up, and then it gains momentum and it looks like it's almost about to fall.

Unless you mobilize, He will punish you most painfully, and will replace you with another people, and you will not harm Him at all. God has power over all things.

Well because, if you miss your flight by three minutes, it is painfully easy to imagine that you could have made different decisions that would have led to a better outcome.

I nervously peered over the side of the bed to see what had befallen my fallen sister and saw that she had landed painfully on her hands and knees on all fours on the ground.

When the dusk was gathering and Iping was just beginning to peep timorously forth again upon the shattered wreckage of its Bank Holiday, a short, thick set man in a shabby silk hat was marching painfully through the twilight behind the beechwoods on the road to Bramblehurst.

For me they normally happen, these career crises, often, actually, on a Sunday evening, just as the sun is starting to set, and the gap between my hopes for myself and the reality of my life starts to diverge so painfully that I normally end up weeping into a pillow.