pitiful; pathetic; painful to look at
痛々しくて直視できなかった。
It was too painful to look at directly.
怪我をした子犬の様子が痛々しかった。
The injured puppy looked so pitiful.
包帯だらけの選手が痛々しい姿で試合を続けた。
The player, covered in bandages, struggled on in a pitiable state.