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| Subject | English | Russian |
| sanscr. | gut wrenching | кишкозаворотливая (Yokky) |
| gen. | gut-wrenching | причиняющий душевную боль (Taras) |
| gen. | gut-wrenching | тошнотворный (making you want to vomit: gut-wrenching scenes of bloodshed Taras) |
| gen. | gut-wrenching | муторный (Побеdа) |
| gen. | gut-wrenching | ужасный (Taras) |
| gen. | gut-wrenching | наводящий ужас (Watching gut-wrenching stuff makes me sick to my stomach and so does my girlfriend's cooking Taras) |
| slang | gut-wrenching | надрывный (Liv Bliss) |
| fig.of.sp. | gut-wrenching | ужасающий (The number of people living on streets or in tents in parks is gut-wrenching. Rents are spiralling beyond the ability of working people to afford them. The idea that a young couple could get an education and a good job and buy a family home is an elusive dream.  vancouversun.com ART Vancouver) |
| amer. | gut-wrenching | душераздирающий (Taras) |
| gen. | gut-wrenching | пронзительный (During the emotional preview, O'Connor sings a gut-wrenching version of her 1990 hit, "Nothing Compares 2 U," and also says she's changing her name. yahoo.com andraleks) |
| gen. | gut-wrenching | мучительный (Taras) |
| gen. | gut-wrenching | шокирующий (Taras) |
| gen. | gut-wrenching | отвратительный (Taras) |
| gen. | gut-wrenching | причиняющий страдания (Taras) |
| gen. | gut-wrenching | мучительный (extremely painful feeling, feeling of nervous energy and emotional pain (as if your stomach is being twisted and tied in knots; Context:"It must have been gut-wrenching when your sister found out she had cancer. How did you deal with it?" Muravi) |
| relig. | gut-wrenching trial | мучительное испытание (Александр Рыжов) |