最令人心痛的是 The most painful is ; Is most heartache is ; The most heartbreaking is

那真是令人心痛的 It was really heartbreaking ; That was painful ; It's been aching

另一件令人心痛的事 The bleeding of another part

令人痛心的 sore

多么令人痛心的场面 What a sad scene ; How sad spectacle of ; What a saddening scene

令人痛心的事故 a heartbreaking accident

多么令人痛心的画面 What a sad picture ; How disheartening picture

这是非常令人痛心的 This is very sad

令人伤心或痛苦的 grievous