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Most common first
Japanese order (あいうえお)
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contains 憺
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惨憺
さんたん
Other
miserable; tragic; wretched · painstaking; with great effort
意匠惨憺
いしょうさんたん
Nouns
taxing one's ingenuity in devising something; agonizing over design or creation; making strenuous efforts to devise good ways and means
疾痛惨憺
しっつうさんたん
Nouns
terrible worry; extreme anxiety
苦心惨憺
くしんさんたん
Nouns
taking great pains; going to great lengths; making strenuous efforts
