There was genuine anguish in the words.

"I was afraid of this," Bruno said, genuine anguish in his voice.

He reports, with what seems to be genuine anguish, several violent incidents.

All that saved her from at the very least the acid of my tongue was the look of genuine anguish on her face.

They also transmute the book's surreal nightmare tropes into moments of genuine anguish.

The brave son uses a whisper-channel, saying, "I'm sorry," with a genuine anguish.

Pitt's face wrinkled again, this time in genuine anguish.

Ken closed his eyes now, and I saw genuine anguish.

He told me with genuine anguish, as if the knowledge of his disease demanded a courage his disease would also have punished.

The genuine anguish in his voice made it clear that I would be well within my rights to horsewhip him on the spot.