Lacy33 said:
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Wow... I just got goosebumps... verbatim I was going to quote, "A stranger and afraid in a world I never made."
Afraid is definitely it, and the worst way to live.
On a technical note, it's generally considered to be the most painful experience to be systematically tortured to death. One example:
Your friends and family are imprisoned, and you're all subjected to outrages and basic physical torture. You're all assured that death is your only escape, and then separated. You're placed with an IV of an amphetamine in one arm, and a barbiturate in the other, and made to witness your friends and family tortured and killed.
You're then left alone in cell that is either uniformly lit, or utterly dark, and filled with white noise. Ideally, you cannot sit or lay down.
Finally, you're flayed alive, and then boiled from the feet up.
My point... any death can be made horrific, but the worst elements will always be the pain, emotional, and physical. One enhances the other, as anyone who has ever been depressed can tell you. Is that a satisfactory answer?