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'excruciatingly difficult' is correct and usable in written English.
You can use it to describe something that is extremely difficult to do or achieve, usually because it requires a very high level of skill, effort, or patience. For example: "Climbing Mount Everest is an excruciatingly difficult task."
Exact(60)
The issue itself is excruciatingly difficult.
Maintaining brand loyalty is excruciatingly difficult in the Internet business.
Even under this narrower definition, success will be excruciatingly difficult.
Only Judge Gilman found the case excruciatingly difficult.
It is, to be sure, an excruciatingly difficult, confounding story.
"In my opinion, Christiana has done a terrific job under excruciatingly difficult circumstances," Gore told me.
Along with matching stories built around physical duress, both films were excruciatingly difficult to finance.
But the acting trade proved excruciatingly difficult to crack for Mr. Frieder, with his German accent.
Equally astonishing was the life that Hawking wrought from that excruciatingly difficult circumstance.
It is, perhaps, more excruciatingly difficult for conservatives to do so.
Bridging cultural differences in the midst of excruciatingly difficult social change requires compassionate commitment.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com