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Marked by or requiring strict adherence to. Causing very great pain, difficulty, worry, damage, etc. ; How to use severe in a sentence. Se·ver·er , se·ver·est 1. Extreme or very…. Synonym discussion of severe. Severe synonyms, severe pronunciation, severe translation, english dictionary definition of severe. Whether youre talking about a punishment, the weather, or how bad your flu is, severe indicates that its at the limit of the spectrum. A severe critic. See examples of severe used in a sentence. The meaning of severe is strict in judgment, discipline, or government. Unsparing, harsh, or strict, as in treatment of others: