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"Acute" is a situation that is getting bad fast. "Critical" is when that situation comes to a tipping point, and your actions can either save or ruin it. "Dire" is particularly dreadful: it is that situation a little after the tipping point, when what you try next may not even help!

"Imperative" describes something that is needed immediately, and while severe, is usually not a life-or-death result. "Vital" is another word for something that is required, though not always urgent. "Pressing" is a kind way of saying you really, really need something soon. However, if it's "crucial," then the future depends on it.

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Q: What is the one word of extremely serious or urgent?
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