· anxiety
Leukemia is something sad that starts with "l".
Aggravation is very sad. It begins with the letter A.
abuse
Some sad words:awfulbadcrushingdreadfulennuifriendlessglumhopelessilljoylessnessknocked downlethargymoodyneedyoverwhelmedpeevishqueasyremorsefulsorrytroubleduneasyvulnerablewoefulx...yearningzealless
As examples of sad emotions starting with a are aggrieved or anguished
elegy
Slavery
optimisim
bullying
Somber
zebra
maybe tears or something else sad or just this symbol: :(