1. Extremely and sharply
   - bitterly, bitingly, bitter 
2. In a shrill voice
   - shrilly

See also: piercing

• Epacris impressa
• Epacris obtusifolia
• Epacris purpurascens
• epact
• epanalepsis
• epanaphora
• epanodos
• epanorthosis
• eparch
• eparchial
• eparchy
• epaulet
• epaulette
• epauliere
• epeirogenesis
• epeirogeny
• ependyma
• epenthesis
• epenthetic
• epergne
• epexegesis
• epha
• ephah
• ephebe
• ephedra