Yet many of them, too, say they are genuinely pained by the historic vote facing them.

He shook his head, genuinely pained.

He wore a genuinely pained expression.

Daniel is genuinely pained by the sins he commits and counsels against.

He sounded genuinely pained.

She released a genuinely pained sigh.

He looked genuinely pained.

The prince seemed genuinely pained.

She smiled, but she looked genuinely pained, as if I was asking her to betray a confidence.

He calls people Sir and Ma'am and seems genuinely pained when he cannot agree with them.