This injury caused him an extreme amount of pain and required multiple surgeries.
The extreme amount of magnification is necessary because the cameras can be located quite a distance from the action.
He had been strangled with extreme amounts of force.
"Karsh must have an extreme amount of confidence in you," the doctor commented.
"I have an extreme amount of loyalty to shareholders," he said.
"Even if they can manage to get some in, there's an extreme amount of difficulty staying motivated."
I put an extreme amount of effort into it.
These two songs took up an extreme amount of effort for the band.
Or you could use extreme amounts of time, such as overnight.
This resulted in an extreme amount of inconvenience for its members.