Usually means: Profoundly distressing, evoking deep sorrow.
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We found 3 dictionaries that define the word heartwrenching:

General (3 matching dictionaries)
  1. heartwrenching: Wordnik
  2. heartwrenching: Wiktionary
  3. heartwrenching: Dictionary.com

Definitions from Wiktionary (heartwrenching)

adjective:  Having a painful emotional impact; causing grief or distress.

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