exacerbate

C1/C2
UK/ɪɡˈzæs.ə.beɪt/US/ɪɡˈzæs.ɚ.beɪt/

formal, academic, professional

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Definition

Meaning

to make a problem, bad situation, or negative feeling worse

to increase the severity, bitterness, or violence of a state; to aggravate or intensify a negative condition

Linguistics

Semantic Notes

Used exclusively for worsening something that is already negative. Neutral/positive outcomes cannot be 'exacerbated'.

Dialectal Variation

British vs American Usage

Differences

No major differences in meaning or usage. 'Exacerbate' is standard in both varieties.

Connotations

Slightly formal/academic in both. In American political/news discourse, it may be used more frequently.

Frequency

Some corpus data suggests marginally higher frequency in AmE, but the word is firmly established in both.

Vocabulary

Collocations

strong
exacerbate the problemexacerbate tensionsexacerbate the situationexacerbate inequalityexacerbate symptomsexacerbate a crisis
medium
exacerbate feelingsexacerbate painexacerbate conflictexacerbate divisionsexacerbate the decline
weak
exacerbate conditionsexacerbate difficultiesexacerbate the effectsexacerbate the issue

Grammar

Valency Patterns

SV(O) - The policy exacerbated poverty.SVOd - The speech exacerbated public fears.

Vocabulary

Synonyms

Strong

aggravate (neutral register, but identical core meaning)inflame (for tensions/conflict)

Neutral

worsenintensifycompound

Weak

add toheighten (for negative feelings/conditions)

Vocabulary

Antonyms

alleviatemitigateimproveameliorateease

Phrases

Idioms & Phrases

  • No common idioms. The word itself is used literally.

Usage

Context Usage

Business

Used to describe actions that worsen market conditions, economic disparities, or operational problems.

Academic

Common in social sciences, medicine, and policy studies to describe factors that intensify problems.

Everyday

Less common, but used in discussion of serious news topics (e.g., 'The new law exacerbated the housing crisis').

Technical

Frequent in medical contexts (exacerbate symptoms/conditions) and environmental science (exacerbate climate impacts).

Examples

By Part of Speech

verb

British English

  • The government's austerity measures served only to exacerbate social divisions.
  • Please avoid foods that might exacerbate your condition, the doctor advised.

American English

  • His inflammatory rhetoric ended up exacerbating tensions in the community.
  • The new tax code is likely to exacerbate income inequality, analysts warn.

adverb

British English

  • N/A (The adverb 'exacerbatingly' is extremely rare and non-standard).

American English

  • N/A (The adverb 'exacerbatingly' is extremely rare and non-standard).

adjective

British English

  • N/A (The adjective is 'exacerbating', rarely used attributively).

American English

  • N/A (The adjective is 'exacerbating', rarely used attributively).

Examples

By CEFR Level

A2
  • N/A - Word is beyond A2 level.
B1
  • Stress can exacerbate health problems.
  • Lack of rain exacerbated the drought.
B2
  • The sudden policy change exacerbated the existing economic instability.
  • Her comments only served to exacerbate the disagreement between the two departments.
C1
  • Critics argue that the proposed legislation would inadvertently exacerbate the very disparities it seeks to address.
  • The infection was exacerbated by the patient's compromised immune system.

Learning

Memory Aids

Mnemonic

Think: EX-ACERB-ATE. 'Acerb' relates to 'acerbic' (sharp/bitter). To EX-ACERB-ATE is to bring OUT sharp bitterness – to make things worse.

Conceptual Metaphor

A PROBLEM IS A WOUND/INFLAMMATION (exacerbating irritates it, makes it swell).

Watch out

Common Pitfalls

Translation Traps (for Russian speakers)

  • Do not confuse with обострять (which can be neutral, like 'sharpen a pencil'). Exacerbate is ONLY negative.
  • Not a direct synonym for ухудшать in all contexts; it implies making an already bad situation specifically more severe or intense.

Common Mistakes

  • Using it for positive intensification (INCORRECT: 'The praise exacerbated her happiness').
  • Confusing with 'exasperate' (to irritate intensely).

Practice

Quiz

Fill in the gap
The decision to close the local clinic will likely health inequalities in the region.
Multiple Choice

Which of the following sentences uses 'exacerbate' correctly?

FAQ

Frequently Asked Questions

In modern usage, they are synonyms when meaning 'to make worse'. Purists once reserved 'aggravate' for 'to annoy', but this distinction has largely disappeared, especially in formal writing.

No. 'Exacerbate' is only used for negative situations, problems, or feelings. You intensify, increase, or heighten positive things.

The noun is 'exacerbation' (e.g., 'an exacerbation of symptoms').

It is more common in written, formal, academic, and professional contexts. In casual speech, people are more likely to say 'make worse' or 'aggravate'.

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