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"painful consequences" is a correct and usable phrase in written English.
It is typically used to describe negative outcomes or results that are caused by a certain action or event. Example: "The decision to cut corners on safety regulations had painful consequences for the company when several employees were injured on the job."
Exact(59)
They can also withdraw affirmation and support, and consequently isolate the superior with all the painful consequences this entails.
-- The nine most painful consequences of a government shutdown.
Celibacy is a bad idea with painful consequences.
There would be many more unintended, and potentially painful, consequences.
If there won't be enough money, then several painful consequences follow.
We detest anti-Semitism as much as we detest the horrible and painful consequences of war.
Nani's boot was definitely raised with painful consequences, accidental or not.
Eventually, the Chinese export sector has to slim down, with painful consequences for its displaced workers.
Opponents of a referendum are effectively trying to do the splits, with politically painful consequences.
Derbyshire S W G, Fitzgerald M. The painful consequences of neonatal nociceptive input.
Similar(1)
Big and painful consequences for the whole nation will follow from this election.
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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