Causing pain or distress, either physical or mental.
Afflicted or suffering with pain (of a body part or, formerly, of a person).
Very bad, poor.
Requiring effort or labor; difficult, laborious.
So appalling or sad that one feels or should feel sorry for it; eliciting pity.
Of an amount or number: very small.
In a pitiful manner; pitifully; piteously; pathetically.