The vast majority of the population lives in utter misery.

这里的人绝大多数生活在极度贫困之中。

《牛津词典》

All experience is utter misery in essence.

所有的体验本质皆是苦难。

youdao

Doris was looking at the floor, her cheeks drained of color, her expression one of utter misery.

桃丽丝望着地板，面无血色，一脸悲凄欲绝的神情。

youdao

This awareness of themselves on a larger map than the miseries of the slum allowed them to knowingly present themselves as actors with a positive valence, not merely poor hopeless individuals living in utter misery.

FORBES: The Global City And The Global Slum

The favela is actually a highly variable site for living, a bit like the inner cities of the U.S. At one end they are suitable homes for middle-class people and civil servants, and at the other end they are places of utter misery, not fit for human living.

FORBES: Curfew In The Favela