The phrase "almost always severe" is correct and usable in written English.
It can be used to describe a situation or condition that is typically very serious or intense, but not exclusively so.
Example: "The weather in this region is almost always severe during the winter months, leading to frequent snowstorms and icy conditions."
Alternatives: "usually very severe" or "generally quite severe".
Hemi-dystonia almost always has severe impact on motor function; however, response to treatment is typically poor [17].
Recurrent coagulopathy is almost always as severe as the presenting coagulopathy and sometimes worse.
However, as ingestion of Cortinarius sp. almost always causes severe interstitial nephritis, addition of steroids to symptomatical and antioxidant treatment should be considered [ 9].
In a given year, just 1% of all abortions in America take place after 20 weeks; fewer than 600 are thought to happen after 26 weeks, and at that stage are almost always because of severe fetal abnormalities.
Chronic mesenteric ischaemia (CMI) accounts for 5%% of all mesenteric ischaemia cases and is almost always secondary to severe atherosclerotic disease.
Where programs and public health promotions have been designed to address the issue of mental illness, these have almost always focussed on severe mental illness such as schizophrenia, or people living in institutionalised settings or in receipt of specialised mental health treatment [ 20, 21].
The vaccine almost always prevents against severe disease.
In consequence, genomic alterations are often observed in cancer (Rajagopalan and Lengauer, 2004), now widely accepted as a disease with a strong genetic component based on the insight that cancer is almost always accompanied by rather severe changes on the genetic level (Mitelman et al., 2007).
In severe burns patients, sepsis almost always develops, lasts for several weeks and is frequently associated with ARF [ 10- 19].
All of these are significant parts of practical wireless systems which, if handled poorly, can cause significant performance degradation, Note that additive white Gaussian noise model with multiplicative fading is a highly oversimplified abstraction of an actual wireless link, which almost always has to deal with severe nonlinearities, finite precision, and lack of shared clock reference.
