When he spoke again, his ragging tone did not quite muffle real anguish.

Siegfried's face was too obscured for me to detect any change of expression but at this disaster, I saw real anguish in his eyes.

I was sorry afterward, for it did seem to cause her real anguish to contemplate the awful dangers to which you wished to return.

Jazzy faux-documentary images only keep the material's real anguish farther away.

You're in real anguish and you don't need to be.

She tried to concentrate her thoughts upon the real anguish of her heart.

Rev. Rose said, and there was real anguish in his voice.

There was a real anguish in his voice.

The very real anguish in Tara's eyes left him speechless.

There was an edge and a very real anguish to his voice.